FDA Adverse Event
Summary report: N
SUCTION APPARATUS, PATIENT CARE
MDR report key: 2921395
·
Received January 17, 2013
Report
- Report Number
- 1531186-2013-00236
- Date Received
- January 17, 2013
- Report Date
- January 17, 2013
- Manufacturer
- EMG TECHNOLOGY CO. LTD
- Product Code
- DWM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
(B)(4). THE DEALER REPORTED THAT THE IRC1135 ASPIRATOR MOBILAIRE HAD A FAULTY POWER SWITCH. THERE WAS NO PATIENT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 26616 | SUCTION APPARATUS, PATIENT CARE | 870.5050 | DWM | EMG TECHNOLOGY CO. LTD | IRC1135 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |