Type of Device | CIRCUIT, BREATHING (W CONNECTOR, ADAPTOR, Y PIECE) |
MDR Report Key | 7381579 |
MDR Text Key | 103988667 |
Report Number | 7381579 |
Device Sequence Number | 1 |
Product Code |
CAI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
03/01/2007,02/05/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 03/01/2007 |
Event Location |
Hospital
|
Date Report to Manufacturer | 03/01/2007 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 03/29/2018 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|