BEUDAMED
    FDA Adverse Event Other Summary report: N

    ADULT CIRCUIT

    MDR report key: 288089 · Received July 28, 2000

    Report

    Report Number
    2242551-2000-00013
    Event Type
    Other
    Date Received
    July 28, 2000
    Date of Event
    June 28, 2000
    Report Date
    July 28, 2000
    Manufacturer
    VITAL SIGNS, INC.
    Product Code
    CAI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ACCOUNT REPORTS THAT THE BAG IS MELTED AND THE TUBE HAS HOLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADULT CIRCUIT ADULT BREATHING CIRCUIT CAI VITAL SIGNS, INC. 5020AE B147

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other