FDA Adverse Event
Summary report: N
SUCTION APPARATUS, PATIENT CARE
MDR report key: 3903144
·
Received June 30, 2014
Report
- Report Number
- 1531186-2014-02282
- Date Received
- June 30, 2014
- Report Date
- May 28, 2014
- Manufacturer
- EMG TECHNOLOGY CO. LTD
- Product Code
- DWM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER SUCTION IS BROKEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 380480 | SUCTION APPARATUS, PATIENT CARE | 870.5050 | DWM | EMG TECHNOLOGY CO. LTD | IRC1135 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |