BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTEX SUCTIONPRO 72 CLOSED SUCTION SYSTEM

    MDR report key: 2669663 · Received July 13, 2012

    Report

    Report Number
    2183502-2012-00301
    Event Type
    Malfunction
    Date Received
    July 13, 2012
    Manufacturer
    SMITHS MEDICAL MD, INC.
    Product Code
    OFR
    PMA / PMN Number
    EXEMPT
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CUSTOMER HAS NOT YET RETURNED THE DEVICE TO THE MFR FOR DEVICE EVAL. WHEN AND IF THE DEVICE BECOMES AVAIL AND IS RETURNED AND EVALUATED THE MFR WILL FILE A FOLLOW UP REPORT DETAILING THE RESULTS OF THE EVAL.

    Description of Event or Problem · 1

    .

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORTEX SUCTIONPRO 72 CLOSED SUCTION SYSTEM BSY- TRACHEOBRONCHIAL SUCTION CATHETER OFR SMITHS MEDICAL MD, INC. NA 2153772

    Patients

    Seq Age Sex Outcome Treatment
    1