BEUDAMED
    FDA Adverse Event Other Summary report: N

    CLOG ZAPPER

    MDR report key: 506402 · Received December 23, 2003

    Report

    Report Number
    1419949-2003-00018
    Event Type
    Other
    Date Received
    December 23, 2003
    Date of Event
    December 3, 2003
    Report Date
    December 23, 2003
    Manufacturer
    VIASYS MEDSYSTEMS
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CLOG ZAPPER ENTERAL FEEDING TUBE DECLOGGING SYSTEM FPD VIASYS MEDSYSTEMS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other NONE REPORTED