BEUDAMED
    FDA Adverse Event Other Summary report: N

    MARQUEST

    MDR report key: 481360 · Received August 29, 2003

    Report

    Report Number
    1718887-2003-00001
    Event Type
    Other
    Date Received
    August 29, 2003
    Date of Event
    July 5, 2003
    Report Date
    August 29, 2003
    Manufacturer
    MARQUEST MEDICAL PRODUCTS
    Product Code
    BTT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COPY OF MEDWATCH REPORT RECEIVED INDICATING THAT "WHEN REFILLING THE RESERVOIR, H20 BAG HAD INCREASED PRESSURE CAUSING H20 TO ENTER CURCIUT TUBING AND TO GO UP PT NOSE AND ON FACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MARQUEST HUMIDIFYING CHAMBER - LOW COMPRESSIBLE BTT MARQUEST MEDICAL PRODUCTS 541050 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Required Intervention