BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 480328 · Received August 22, 2003

    Report

    Report Number
    1833708-2003-00001
    Event Type
    Other
    Date Received
    August 22, 2003
    Report Date
    August 22, 2003
    Manufacturer
    VITAL CONCEPTS, INC.
    Product Code
    GBX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DISTRIBUTOR REPORTED STICKING SUCTION VALVE ON VITAL CONCEPTS IRRIGATION/ASPIRATION DEVICE. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK IRRIGATION/ASPIRATION SYSTEM GBX VITAL CONCEPTS, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *