BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GRAND DIVE VERTICAL 1.3 ATA

    MDR report key: 2887363 · Received December 15, 2012

    Report

    Report Number
    MW5028255
    Event Type
    Injury
    Date Received
    December 15, 2012
    Date of Event
    February 26, 2012
    Report Date
    December 15, 2012
    Manufacturer
    CERTEC/SUMMIT TO SEA
    Product Code
    CBF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GRAND DIVE VERTICAL 1.3 ATA PORTABLE HYPERBARIC CHAMBER CBF CERTEC/SUMMIT TO SEA 40" GRAND DIVE

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Life Threatening