FDA Adverse Event
Injury
Summary report: N
VRV-II (STERILE)
MDR report key: 180156
·
Received July 30, 1998
Report
- Report Number
- 1627487-1998-00028
- Event Type
- Injury
- Date Received
- July 30, 1998
- Date of Event
- June 30, 1998
- Report Date
- July 30, 1998
- Manufacturer
- QUEST MEDICAL, INC.
- Product Code
- MNJ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- NURSE
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VRV-II (STERILE) | VACUUM RELIEF VALVE | MNJ | QUEST MEDICAL, INC. | 4003103 | 8584.Y03 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Required Intervention |