BEUDAMED
    FDA Adverse Event Summary report: N

    SUCTION APPARATUS, PATIENT CARE

    MDR report key: 3211949 · Received July 8, 2013

    Report

    Report Number
    1531186-2013-03017
    Date Received
    July 8, 2013
    Report Date
    June 13, 2013
    Manufacturer
    EMG TECHNOLOGY CO. LTD
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES IRC1135 ASPIRATOR, (B)(4) UNIT WILL NOT COME ON AT ALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    309768 SUCTION APPARATUS, PATIENT CARE 870.5050 DWM EMG TECHNOLOGY CO. LTD IRC1135

    Patients

    Seq Age Sex Outcome Treatment
    1 Other