FDA Adverse Event Malfunction Summary report: N

GF-210RA

MDR report key: 4488116 · Received February 2, 2015

Report

Report Number
2080783-2015-00012
Event Type
Malfunction
Date Received
February 2, 2015
Date of Event
January 5, 2015
Report Date
January 5, 2015
Manufacturer
NIHON KOHDEN CORP
Product Code
CCK
Product Problem
Yes
Report Source
Distributor report
Reporter Location
PA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE GF-210RA MULTI-GAS UNIT USED FOR MEASUREMENT OF ANESTHETIC GAS AGENTS, OXYGEN, OR CO2 DISPLAYS A CHECK WATER TRAP ERROR EVEN WHEN A BRAND NEW WATER TRAP IS BEING USED. MFR 8030209-2015-00012.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
76111 GF-210RA MULTI-GAS UNIT CCK NIHON KOHDEN CORP GF-210RA

Patients

Seq Age Sex Outcome Treatment
1 NI