BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANESTHETIC GAS MODULE

    MDR report key: 251788 · Received November 24, 1999

    Report

    Report Number
    9610816-1999-00006
    Event Type
    Malfunction
    Date Received
    November 24, 1999
    Date of Event
    October 17, 1999
    Report Date
    October 25, 1999
    Manufacturer
    AGILENT TECHNOLOGIES, GMBH
    Product Code
    CBQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AU
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT A WATERTRAP AIR LEAK RESULTED IN LOW LEVELS OF MONITORED CO2 AND AGENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANESTHETIC GAS MODULE AGM CBQ AGILENT TECHNOLOGIES, GMBH M1026A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA