BEUDAMED
    FDA Adverse Event Death Summary report: N

    MALLINCKRODT NEBULIZER WITH ADULT AEROSOL MASK

    MDR report key: 4199224 · Received October 22, 2014

    Report

    Report Number
    3000219639-2014-00009
    Event Type
    Death
    Date Received
    October 22, 2014
    Report Date
    October 22, 2014
    Manufacturer
    SALTER LABS
    Product Code
    CAF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2014 SALTER LABS WAS INFORMED OF AN INCIDENT OF DEVICE MODEL NUMBER 13962, MALLINCKRODT NEBULIZER WITH ADULT AEROSOL MASK 2.1 M SUPPLY TUBE, ELASTIC STRAP FIXATION, UNIVERSAL CONNECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    670801 MALLINCKRODT NEBULIZER WITH ADULT AEROSOL MASK MALLINCKRODT NEBULIZER CAF SALTER LABS 13962

    Patients

    Seq Age Sex Outcome Treatment
    1 Death