FDA Adverse Event Injury Summary report: N

AEROCHAMBER

MDR report key: 172391 · Received June 9, 1998

Report

Report Number
MW1013978
Event Type
Injury
Date Received
June 9, 1998
Date of Event
June 6, 1998
Report Date
June 7, 1998
Manufacturer
MONAGHAN MEDICAL CORP.
Product Code
CCQ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT USING AEROCHAMBER WITH MDI FOR ASTHMA EXCERBATION WHEN PLASTIC LEAF VALVE DETERMINED MISSING, POSSIBLY ASPIRATED SENDING BRONCHOSCOPY PT EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AEROCHAMBER * CCQ MONAGHAN MEDICAL CORP. NA *

Patients

Seq Age Sex Outcome Treatment
1 12 MO Hospitalization