BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HIR-200

    MDR report key: 460205 · Received May 14, 2003

    Report

    Report Number
    1221261-2003-00032
    Event Type
    Injury
    Date Received
    May 14, 2003
    Date of Event
    April 12, 2003
    Report Date
    May 13, 2003
    Manufacturer
    LEVEL 1, INC.
    Product Code
    KZD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PRESSURE CHAMBER DOOR BLEW APART AND A PIECE OF THE CHAMBER HIT A NURSE. NO INJURY OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIR-200 PRESSURE INFUSER KZD LEVEL 1, INC. HIR-200 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO