FDA Adverse Event
Injury
Summary report: N
ROTAFLOW ENGLISH/US ICU
MDR report key: 3719961
·
Received March 14, 2014
Report
- Report Number
- 8010762-2014-00141
- Event Type
- Injury
- Date Received
- March 14, 2014
- Manufacturer
- MAQUET CARDIOPULMONARY AG
- Product Code
- DWC
- PMA / PMN Number
- K031544
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Additional Manufacturer Narrative · 1
(B)(4). MAQUET (B)(4) PROVIDES PRODUCT FAILURE INVESTIGATION, ANALYSIS AND RESOLUTION FOR THE DEVICE DESCRIBED IN THIS REPORT. A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).
Description of Event or Problem · 1
PLEASE REFER IMPORTER REPORT # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 152802 | ROTAFLOW ENGLISH/US ICU | ROTOFLOW PUMP | DWC | MAQUET CARDIOPULMONARY AG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |