BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AQUA PAK

    MDR report key: 559253 · Received November 25, 2003

    Report

    Report Number
    559253
    Event Type
    Malfunction
    Date Received
    November 25, 2003
    Date of Event
    October 28, 2003
    Report Date
    November 25, 2003
    Manufacturer
    HUDSON RCI
    Product Code
    CAF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AQUA PAK NEBULIZER ACCESSORY CAF HUDSON RCI 1008 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *