BEUDAMED
    FDA Adverse Event Summary report: N

    SUCTION CATHETER KIT

    MDR report key: 16569 · Received October 4, 1994

    Report

    Report Number
    MW1003571
    Date Received
    October 4, 1994
    Date of Event
    September 27, 1994
    Report Date
    September 27, 1994
    Manufacturer
    SUPERIOR HEALTHCARE GROUP, INC.
    Product Code
    BSY
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    SEVERAL INCIDENTS OF TUBING SEPARATION FROM THUMB CONTROL HAS RESULTED IN SPLATTERING OF SECRETIONS ON EMPLOYEES AND TEMPORARY OCCLUSION OF ENDOTRACHEAL AND TRACHEOSTOMY TUBES WITH THE CATHETER. (SAMPLE) (*)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUCTION CATHETER KIT BSY SUPERIOR HEALTHCARE GROUP, INC. 4144A

    Patients

    Seq Age Sex Outcome Treatment
    1 *