BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ORGANIC VAPOR CHEMICAL CARTRIDGE

    MDR report key: 34244 · Received July 18, 1996

    Report

    Report Number
    MW1009519
    Event Type
    Malfunction
    Date Received
    July 18, 1996
    Report Date
    July 15, 1996
    Manufacturer
    SURVIVAIR
    Product Code
    FXX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    HI, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    CARTRIDGE IS MARKED FOR ACID GAS AND ORGANIC VAPOR USE. HOWEVER, NOTICE PAPER W/CARTRIDGE INDICATES NOT TO BE USED FOR FORMALDEHYDE (ACID GAS).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORGANIC VAPOR CHEMICAL CARTRIDGE CHEMICAL CARTRIDGE FXX SURVIVAIR

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other