BEUDAMED
    FDA Adverse Event Death Summary report: N

    ASPIRATOR

    MDR report key: 90990 · Received May 14, 1997

    Report

    Report Number
    MW1011301
    Event Type
    Death
    Date Received
    May 14, 1997
    Date of Event
    April 23, 1997
    Report Date
    May 6, 1997
    Manufacturer
    WOCHER MAX & SON, CO.
    Product Code
    JCX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT HAD A CARDIAC ARREST. THIS SUCTION MACHINE DID NOT WORK WHEN THEY USED IT TO SUCTION PT'S MOUTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASPIRATOR * JCX WOCHER MAX & SON, CO. NONE *

    Patients

    Seq Age Sex Outcome Treatment
    1 5 YR Death