BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAPNO-FLO BAG

    MDR report key: 20048 · Received March 1, 1995

    Report

    Report Number
    MW1005287
    Event Type
    Malfunction
    Date Received
    March 1, 1995
    Date of Event
    February 18, 1995
    Report Date
    February 27, 1995
    Manufacturer
    AMBU, INC.
    Product Code
    BTM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PRODUCT WAS MFG BY ANOTHER FIRM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAPNO-FLO BAG AMBU BAG BTM AMBU, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR