BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1217052-1996-00063

    MDR report key: 50186 · Received September 27, 1996

    Report

    Report Number
    1217052-1996-00063
    Event Type
    Malfunction
    Date Received
    September 27, 1996
    Date of Event
    August 25, 1996
    Report Date
    August 29, 1996
    Product Code
    BZA
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BZA

    Patients

    Seq Age Sex Outcome Treatment
    1 * ENDOTRACHEAL TUBE OR TRACHEOSTOMY TUBE