BEUDAMED
    FDA Adverse Event Other Summary report: N

    ADULT CIRCLE CIRCUIT

    MDR report key: 229284 · Received June 23, 1999

    Report

    Report Number
    2242551-1999-00015
    Event Type
    Other
    Date Received
    June 23, 1999
    Date of Event
    May 24, 1999
    Report Date
    June 23, 1999
    Manufacturer
    VITAL SIGNS, INC.
    Product Code
    CAI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GR
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DESCRIBE EVENT OR PROBLEM: HOLES IN TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADULT CIRCLE CIRCUIT * CAI VITAL SIGNS, INC. A4GXNXXX 064U, 316E

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other