BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUCTION CATHETER 10FR

    MDR report key: 16707223 · Received April 7, 2023

    Report

    Report Number
    MW5116482
    Event Type
    Malfunction
    Date Received
    April 7, 2023
    Date of Event
    March 30, 2023
    Report Date
    April 5, 2023
    Manufacturer
    MEDLINE INDUSTRIES, LP - SPT
    Product Code
    OGV
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SUCTION TUBING NOT CONNECTED TO BLACK THUMB CONTROL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2019568 SUCTION CATHETER 10FR TRACHEOSTOMY CLEANING TRAY OGV MEDLINE INDUSTRIES, LP - SPT DYND40980 6052210018

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Female