BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAQUET ACROBAT SUV

    MDR report key: 7317043 · Received March 5, 2018

    Report

    Report Number
    MW5075708
    Event Type
    Injury
    Date Received
    March 5, 2018
    Date of Event
    February 16, 2018
    Report Date
    March 1, 2018
    Manufacturer
    MAQUET
    Product Code
    NQG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DR ATTEMPTED TO RELEASE THE CLAMP ON THE DEVICE, THE CLAMP HARDWARE FAILED AND BECAME DETACHED FROM EITHER END OF THE TWO PIECES OF THE CLAMP. NO APPARENT INJURIES TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    155540 MAQUET ACROBAT SUV ACROBAT SUV VACUUM OFF PUMP SYSTEM NQG MAQUET OM 9000S 25134992

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention