BEUDAMED
    FDA Adverse Event Other Summary report: N

    PEGGY PREEMIE

    MDR report key: 171927 · Received June 11, 1998

    Report

    Report Number
    MW1013948
    Event Type
    Other
    Date Received
    June 11, 1998
    Date of Event
    May 27, 1998
    Report Date
    June 11, 1998
    Manufacturer
    LAERDAL MEDICAL CORP.
    Product Code
    LYM
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ADDITIONAL INFO RECEIVED FROM MFR ON 07/28/1998: MFR HAS CONTACTED THE RPTR ABOUT THE REPORT AS LAERDAL DOES NOT HAVE A MANIKIN NAMED PEGGY PREEMIE. RPTR APOLOGIZED AND INFORMED MFR THAT THEY HAD MADE A MISTAKE IN IDENTIFYING THE MFR ON THEIR REPORT. THE PEGGY PREEMIE IS A SIMULAIDS PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PEGGY PREEMIE CPR MANIKIN LYM LAERDAL MEDICAL CORP. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Other