BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EMERSON

    MDR report key: 345897 · Received August 1, 2001

    Report

    Report Number
    345897
    Event Type
    Injury
    Date Received
    August 1, 2001
    Date of Event
    July 2, 2001
    Report Date
    July 5, 2001
    Manufacturer
    J. H. EMERSON CO.
    Product Code
    JCX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS VENTILATOR DEPENDENT FOLLOWING AN MVA. THE SUCTION ASPIRATOR FAILED TO PROVIDE SUCTION. THE SWITCH WAS ON WITH THE "ON" INDICATOR LIGHT SHOWING. THE PUMP WAS EXCHANGED AND SENT TO BIOMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    34517 EMERSON SUCTION-ASPIRATOR JCX J. H. EMERSON CO. 55JS *

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR Required Intervention