FDA Adverse Event Summary report: N

*

MDR report key: 864717 · Received May 23, 2007

Report

Report Number
864717
Date Received
May 23, 2007
Date of Event
April 10, 2007
Report Date
May 7, 2007
Manufacturer
CARDINAL HEALTH MEDICAL PRODUCTS AND SERVICES
Product Code
KDQ
Report Source
User Facility report
Reporter Location
IL, US

Narratives

Description of Event or Problem · 1

THE SUCTION CANISTER EXPLODED AND THE RED TOP BROKE INTO PIECES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * CANISTER, SUCTION KDQ CARDINAL HEALTH MEDICAL PRODUCTS AND SERVICES * *

Patients

Seq Age Sex Outcome Treatment
1 37 YR