FDA Adverse Event
Summary report: N
SUCTION APPARATUS, PATIENT CARE
MDR report key: 3181904
·
Received June 21, 2013
Report
- Report Number
- 1531186-2013-02732
- Date Received
- June 21, 2013
- Report Date
- May 24, 2013
- Manufacturer
- EMG TECHNOLOGY CO. LTD
- Product Code
- DWM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
FACILITY STATES NEEDLE ON GAUGE WILL NOT MOVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 282033 | SUCTION APPARATUS, PATIENT CARE | 870.5050 | DWM | EMG TECHNOLOGY CO. LTD | IRC1135 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |