BEUDAMED
    FDA Adverse Event Summary report: N

    SUCTION APPARATUS, PATIENT CARE

    MDR report key: 4152647 · Received October 8, 2014

    Report

    Report Number
    1531186-2014-04791
    Date Received
    October 8, 2014
    Report Date
    September 22, 2014
    Manufacturer
    EMG TECHNOLOGY CO. LTD
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE VACUUM ADJUSTMENT KNOB ON THE (B)(4) ASPIRATOR WILL ONLY GO AS FAR AS 5, CUSTOMER NEEDS 7-12.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    630636 SUCTION APPARATUS, PATIENT CARE 870.5050 DWM EMG TECHNOLOGY CO. LTD IRC1135

    Patients

    Seq Age Sex Outcome Treatment
    1 Other