BEUDAMED
    FDA Adverse Event Summary report: N

    SUCTION APPARATUS, PATIENT CARE

    MDR report key: 3833311 · Received May 27, 2014

    Report

    Report Number
    1531186-2014-01976
    Date Received
    May 27, 2014
    Date of Event
    February 24, 2014
    Report Date
    February 25, 2014
    Manufacturer
    EMG TECHNOLOGY CO. LTD
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATED THAT THEIR IRC1135 ASPIRATOR HAS POWER BUT HAS NO SUCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    310961 SUCTION APPARATUS, PATIENT CARE 870.5050 DWM EMG TECHNOLOGY CO. LTD IRC1135

    Patients

    Seq Age Sex Outcome Treatment
    1 67 Other