BEUDAMED
    FDA Adverse Event Summary report: N

    SUCTION APPARATUS, PATIENT CARE

    MDR report key: 4120191 · Received September 25, 2014

    Report

    Report Number
    1531186-2014-04463
    Date Received
    September 25, 2014
    Report Date
    June 27, 2014
    Manufacturer
    EMG TECHNOLOGY CO. LTD
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES WHEN POWERING UP THE LID IMPLODED ON ITSELF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    599282 SUCTION APPARATUS, PATIENT CARE 870.5050 DWM EMG TECHNOLOGY CO. LTD IRC1135

    Patients

    Seq Age Sex Outcome Treatment
    1 Other