FDA Adverse Event
Malfunction
Summary report: N
NASAL TUBE
MDR report key: 503780
·
Received December 8, 2003
Report
- Report Number
- 8040412-2003-00272
- Event Type
- Malfunction
- Date Received
- December 8, 2003
- Report Date
- December 5, 2003
- Manufacturer
- RUSCH SDN. BHD.
- Product Code
- BTQ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- UNKNOWN
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NASAL TUBE | ANESTHESIA | BTQ | RUSCH SDN. BHD. | NA | 02EE12 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |