BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GRAND DRIVE VERTICAL 1.3 ATA

    MDR report key: 2682191 · Received July 31, 2012

    Report

    Report Number
    MW5026363
    Event Type
    Injury
    Date Received
    July 31, 2012
    Date of Event
    July 17, 2012
    Report Date
    July 31, 2012
    Manufacturer
    CERTEC/SUMMIT TO SEA
    Product Code
    CBF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GRAND DRIVE VERTICAL 1.3 ATA PORTABLE HYPERBARIC CHAMBER CBF CERTEC/SUMMIT TO SEA GRAND DRIVE VERTICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Life Threatening