FDA Adverse Event
Malfunction
Summary report: N
MANOMETER, BLOOD-PRESSURE, VENOUS
MDR report key: 17535826
·
Received August 12, 2023
Report
- Report Number
- MW5142720
- Event Type
- Malfunction
- Date Received
- August 12, 2023
- Report Date
- December 28, 2018
- Manufacturer
- VORTECH
- Product Code
- KRK
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THE DOCTOR (B)(6) REPORTED THAT ONE OF THE PRESSURE REGULATORS (MANOMETER) THAT IS PERMANENTLY IN THE HOSPITAL IS BROKEN, AND HE DID NOT GIVE MORE INFORMATION. DOCTOR: (B)(6) - HOSPITAL : (B)(6) PRODUCT: 50182532 PROCEDURE: UNKNOWN (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 785014 | MANOMETER, BLOOD-PRESSURE, VENOUS | MANOMETER, BLOOD-PRESSURE, VENOUS | KRK | VORTECH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |