BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HUDSON MICRO MIST NEBULIZER

    MDR report key: 2922194 · Received January 16, 2013

    Report

    Report Number
    3004365956-2013-00031
    Event Type
    Malfunction
    Date Received
    January 16, 2013
    Date of Event
    November 28, 2012
    Report Date
    November 28, 2012
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    CAF
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE RESULTS OF THE INVESTIGATION ARE NOT COMPLETE AT THE TIME OF THIS REPORT.

    Description of Event or Problem · 1

    THE COMPLAINT WAS REPORTED AS: THE NURSE FOUND LIQUID MEDICINE LEAKED DOWNWARD ON THE SUPPLY TUBING AFTER SHE PUT SOME MEDICINE INTO THE JAR, WHEN PREPARING A TREATMENT FOR THE PT. ANOTHER DEVICE WAS USED. NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23507 HUDSON MICRO MIST NEBULIZER MICRO MIST NEBULIZER CAF TELEFLEX MEDICAL 02D1201450

    Patients

    Seq Age Sex Outcome Treatment
    1