BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LMA PROSEAL, REU, SIZE 4

    MDR report key: 3837840 · Received April 1, 2014

    Report

    Report Number
    9681900-2014-00015
    Event Type
    Malfunction
    Date Received
    April 1, 2014
    Date of Event
    March 25, 2014
    Report Date
    March 26, 2014
    Manufacturer
    TELEFLEX ASIA PTE LTD
    Product Code
    CAE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE SAMPLE WAS NOT RETURNED FOR EVALUATION AT THE TIME OF THIS REPORT.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE VALVE WOULD NOT CONNECT WITH A 10CC SYRINGE IN ORDER TO INFLATE THE CUFF PRIOR TO USE. THERE WAS NO PATIENT INVOLVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    193204 LMA PROSEAL, REU, SIZE 4 LARYNGEAL MASK AIRWAY CAE TELEFLEX ASIA PTE LTD

    Patients

    Seq Age Sex Outcome Treatment
    1