BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTABLE AC/DC SUCTION MACHINE

    MDR report key: 20301623 · Received September 25, 2024

    Report

    Report Number
    3006446479-2024-00004
    Event Type
    Malfunction
    Date Received
    September 25, 2024
    Date of Event
    September 23, 2024
    Report Date
    September 25, 2024
    Manufacturer
    VEGA TECHNOLOGIES / DICKSON ASIA GROUP, LTD.
    Product Code
    LRQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THE CUSOTMER REPORTED THE UNIT DID NOT FUNCTION PROPERLY, CAUSING ONE OF THEIR PATIENTS TO SEEK MEDICAL INTERVENTION. THE CUSTOMER NOTED THE PATIENT IS A VENT PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1198870 PORTABLE AC/DC SUCTION MACHINE SUCTION MACHINE LRQ VEGA TECHNOLOGIES / DICKSON ASIA GROUP, LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Hospitalization