FDA Adverse Event Malfunction Summary report: N

ADULT DUAL-HEATED WITH EVAQUA BREATHING CIRCUIT

MDR report key: 3131670 · Received May 29, 2013

Report

Report Number
9611451-2013-00390
Event Type
Malfunction
Date Received
May 29, 2013
Date of Event
March 25, 2013
Report Date
March 28, 2013
Manufacturer
FISHER & PAYKEL HEALTHCARE, LTD.
Product Code
BZE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
NURSE
Health Professional
Yes

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
237739 ADULT DUAL-HEATED WITH EVAQUA BREATHING CIRCUIT BZE FISHER & PAYKEL HEALTHCARE, LTD. RT340

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown