BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUCTION CANISTERS

    MDR report key: 16688781 · Received April 6, 2023

    Report

    Report Number
    16688781
    Event Type
    Malfunction
    Date Received
    April 6, 2023
    Date of Event
    March 21, 2023
    Report Date
    March 28, 2023
    Manufacturer
    CARDINAL HEALTH 200, LLC
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SUCTION CANISTER BASES AND LIDS DELIVERED TO FLOOR FROM HOSPITAL SUPPLY. IT WAS NOTED THAT THE LIDS DID NOT CORRECTLY FIT THE BASES, RESULTING IN THE SUCTION CANISTER TO NOT FUNCTION PROPERLY. HOSPITAL SUPPLY MANAGER MADE AWARE. MANUFACTURER RESPONSE FOR SUCTION CANISTER, SUCTION CANISTERS (PER SITE REPORTER) MANUFACTURER CONTACTED, AND THEY ARE RETRIEVING A SAMPLE ON [DATE REDACTED] FOR INSPECTION. LOT# IN THE WAREHOUSE IS GOOD ITS J211-602.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1799140 SUCTION CANISTERS BOTTLE, COLLECTION, VACUUM KDQ CARDINAL HEALTH 200, LLC J211-602

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown