FDA Adverse Event
Malfunction
Summary report: N
NEZHAT-DORSEY
MDR report key: 32055
·
Received April 18, 1996
Report
- Report Number
- MW1008890
- Event Type
- Malfunction
- Date Received
- April 18, 1996
- Report Date
- March 29, 1996
- Manufacturer
- AMERICAN HYDRO-SURGICAL INSTRUMENTS, INC.
- Product Code
- KQT
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AR, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DEVICE WOULD NOT SUCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NEZHAT-DORSEY | LAPAROSCOPIC SUCTION/IRRIGATION SYSTEM | KQT | AMERICAN HYDRO-SURGICAL INSTRUMENTS, INC. | 2027S1 | SE1013 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |