FDA Adverse Event Malfunction Summary report: N

RENASYS GO V2

MDR report key: 4221033 · Received November 3, 2014

Report

Report Number
3006760724-2014-00437
Event Type
Malfunction
Date Received
November 3, 2014
Date of Event
October 10, 2014
Report Date
October 10, 2014
Manufacturer
SMITH & NEPHEW, INC.
Product Code
OMP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

POWER CONNECTION IS BREAKING ACCORDING TO THE CUSTOMER, THE CONNECTION BURNT, THERE WAS LIKE ¿SMOKE¿

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
703072 RENASYS GO V2 NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP OMP SMITH & NEPHEW, INC. 66801244 KABG130428

Patients

Seq Age Sex Outcome Treatment
1