BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RLV VALVE

    MDR report key: 2462668 · Received February 8, 2012

    Report

    Report Number
    2462668
    Event Type
    Malfunction
    Date Received
    February 8, 2012
    Date of Event
    February 6, 2012
    Report Date
    February 8, 2012
    Manufacturer
    QUEST MEDICAL INC
    Product Code
    DWD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RLV VALVE SUCTION CONTROL VALVE NON- ADJUSTABLE (FOR L.V. VENTING) DWD QUEST MEDICAL INC RLV-2100 *

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR