BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EVERETT & JENNINGS

    MDR report key: 86311 · Received January 27, 1995

    Report

    Report Number
    86311
    Event Type
    Malfunction
    Date Received
    January 27, 1995
    Date of Event
    December 5, 1994
    Report Date
    December 6, 1994
    Manufacturer
    EVEREST & JENNINGS, INC.
    Product Code
    JCX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE USING SUCTION MACHINE, IT STARTED SMOKING AND WASN'T SUCTIONING AT FULL CAPACITY. MACHINE WAS REMOVED FROM SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EVERETT & JENNINGS SUCTION MACHINE JCX EVEREST & JENNINGS, INC. H-95 *

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR