BEUDAMED
    FDA Adverse Event Other Summary report: N

    FLOTEC RW SERIES REGULATOR

    MDR report key: 940505 · Received August 31, 2004

    Report

    Report Number
    1832475-2004-00002
    Event Type
    Other
    Date Received
    August 31, 2004
    Date of Event
    May 16, 2004
    Report Date
    August 19, 2004
    Manufacturer
    FLOTEC, INC.
    Product Code
    CAX
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLOTEC RW SERIES REGULATOR OXYGEN REGULATOR (868,2700) CAX FLOTEC, INC. RR800-300AI+ RR500-31002 *

    Patients

    Seq Age Sex Outcome Treatment
    1 4 MO Other