BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESPIRGARD-II

    MDR report key: 250448 · Received November 17, 1999

    Report

    Report Number
    MW1017575
    Event Type
    Malfunction
    Date Received
    November 17, 1999
    Date of Event
    November 17, 1999
    Report Date
    November 17, 1999
    Manufacturer
    MARQUEST MEDICAL PRODUCTS, INC.
    Product Code
    CAH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AFTER PREPARING MEDICINE ADDED TO MEDICINE CHAMBER, MEDICINE BEGAN TO DRIP OUT OF CENTER UNTIL 1/2 OF MEDICINE DISAPPEARED OR WAS WASTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RESPIRGARD-II * CAH MARQUEST MEDICAL PRODUCTS, INC. * 567D

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other