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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RICHARD WOLF GMBH PIRANHA; SUCTION PUMP

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RICHARD WOLF GMBH PIRANHA; SUCTION PUMP Back to Search Results
Model Number 2208011
Device Problem Suction Failure (4039)
Patient Problem Insufficient Information (4580)
Event Date 02/09/2024
Event Type  Injury  
Event Description
A medical supplier facility has informed richard wolf medical instruments corporation (rwmic) of an issue regarding a suction pump, part id: 2208011, serial # (b)(6).According to the initial reporter, during a case the suction works for a couple of seconds and then it stops.As the suction works intermittently, the scheduled procedure was unable to be completed.There is no report of injury to the patient or other personnel.
 
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Brand Name
PIRANHA
Type of Device
SUCTION PUMP
Manufacturer (Section D)
RICHARD WOLF GMBH
pforzheimer strasse 32
knittlingen,, germany 75438
GM  75438
MDR Report Key18809195
MDR Text Key336578176
Report Number1418479-2024-00002
Device Sequence Number1
Product Code JCX
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Distributor
Reporter Occupation Other
Type of Report Initial
Report Date 02/29/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/29/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Other
Device Model Number2208011
Device Catalogue Number2208011
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA02/29/2024
Distributor Facility Aware Date02/09/2024
Device Age8 YR
Date Report to Manufacturer02/29/2024
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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