BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANESTHETIC GAS MODULE

    MDR report key: 252594 · Received December 1, 1999

    Report

    Report Number
    9610816-1999-00007
    Event Type
    Malfunction
    Date Received
    December 1, 1999
    Report Date
    August 11, 1999
    Manufacturer
    AGILENT TECHNOLOGIES, GMBH
    Product Code
    CBQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE WATERTRAP ALWAYS GETS BLOCKED, CREATING INCORRECT RESULTS WITH CARBON DIOXIDE. THE TUBING SNAPPED BEFORE OPENING PACKET.

    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