BEUDAMED
    FDA Adverse Event Other Summary report: N

    V CARE ADULT RESUSCITATOR

    MDR report key: 532380 · Received March 4, 2004

    Report

    Report Number
    2246980-2004-00002
    Event Type
    Other
    Date Received
    March 4, 2004
    Report Date
    February 27, 2004
    Manufacturer
    VENTLAB CORP.
    Product Code
    BTM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VENTLAB MANUAL RESUSCITATION BAG BREAKING AT PT INTERFACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V CARE ADULT RESUSCITATOR RESUSCITATOR BTM VENTLAB CORP. VN1000 134270A

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other