BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WEST MED PEDI CO2 EASY

    MDR report key: 1630798 · Received March 10, 2010

    Report

    Report Number
    MW5015100
    Event Type
    Injury
    Date Received
    March 10, 2010
    Date of Event
    January 16, 2010
    Report Date
    March 3, 2010
    Manufacturer
    WESTMED, INC.
    Product Code
    CCK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CARBON DIOXIDE DETECTOR IS TO CHANGE FROM PURPLE TO YELLOW ONCE AIRWAY - DETECTOR NEVER WENT TO YELLOW RATHER TO BEIGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WEST MED PEDI CO2 EASY PEDI CO2 DETECTOR CCK WESTMED, INC. 562135 46058

    Patients

    Seq Age Sex Outcome Treatment
    1 2 DA Life Threatening