FDA Adverse Event Other Summary report: N

ADULT CIRCUIT

MDR report key: 294897 · Received August 31, 2000

Report

Report Number
2242551-2000-00015
Event Type
Other
Date Received
August 31, 2000
Date of Event
August 3, 2000
Report Date
August 31, 2000
Manufacturer
VITAL SIGNS, INC.
Product Code
CAI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ACCOUNT REPORTS THAT THE CIRCUIT HAD HOLES ALL ALONG ITS SURFACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADULT CIRCUIT * CAI VITAL SIGNS, INC. A7AXXXXX A018

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other