BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOLLISTER ETAD

    MDR report key: 481984 · Received August 22, 2003

    Report

    Report Number
    1119193-2003-00007
    Event Type
    Other
    Date Received
    August 22, 2003
    Report Date
    August 22, 2003
    Manufacturer
    HOLLISTER, INC.
    Product Code
    CBH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT DEVELOPED PRESSURE SORE BETWEEN THE NOSE AND UPPER LIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOLLISTER ETAD ORAL ENDOTRACHEAL TUBE ATTACHMENT DEVICE CBH HOLLISTER, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other