BEUDAMED
    FDA Adverse Event Other Summary report: N

    D-VAPOR

    MDR report key: 953290 · Received April 13, 2007

    Report

    Report Number
    9611500-2007-00024
    Event Type
    Other
    Date Received
    April 13, 2007
    Report Date
    April 13, 2007
    Manufacturer
    DRAEGER MEDICAL AG & CO. KG
    Product Code
    CAD
    PMA / PMN Number
    K042276
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Additional Manufacturer Narrative · 1

    THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION AT THE MANUFACTUER'S SITE, RESULTS WILL BE RPORTED IN A FOLLOW-UP REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT AN OIL MIXTURE WAS VISABLE IN THE SIGHT GLASS WHEN FILLING THE VAPORIZER WITH AGENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 D-VAPOR VAPORIZER CAD DRAEGER MEDICAL AG & CO. KG NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA