BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PULSET

    MDR report key: 18109 · Received December 1, 1994

    Report

    Report Number
    MW1004244
    Event Type
    Malfunction
    Date Received
    December 1, 1994
    Date of Event
    November 10, 1994
    Report Date
    November 25, 1994
    Manufacturer
    MARTELL MEDICAL PRODUCTS, INC.
    Product Code
    CBT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    NEEDLE STOPPER FALLS OFF OF NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PULSET BLOOD GAS SYRINGE CBT MARTELL MEDICAL PRODUCTS, INC. 6274

    Patients

    Seq Age Sex Outcome Treatment
    1 *