SSCOR 2310BV

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-04 for SSCOR 2310BV manufactured by Sscor Inc..

Event Text Entries

[134899757] The fire department was not following the recommended battery maintenance procedures as described in the operations manual. Device failure did not have an adverse impact on the patient. Sscor attempted to obtain additional patient, event and device information from the initial reporter on various occasions and calls were not returned.
Patient Sequence No: 1, Text Type: N, H10


[134899758] "device failed during an emergency situation. Patient was choking, the device stopped working 3 minutes into the suction procedure. We were able to stabilize the patient and no harm was caused. The suction unit was included in an ambulance that was purchased in 2016. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2022724-2019-00001
MDR Report Key8301848
Date Received2019-02-04
Date of Report2019-01-31
Date Mfgr Received2019-01-03
Device Manufacturer Date2016-06-28
Date Added to Maude2019-02-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MAIRA OJEDA
Manufacturer Street11064 RANDALL STREET
Manufacturer CitySUN VALLEY CA 91352
Manufacturer CountryUS
Manufacturer Postal91352
Manufacturer Phone8185044054
Manufacturer G1SSCOR INC
Manufacturer Street11064 RANDALL STREET
Manufacturer CitySUN VALLEY CA 91352
Manufacturer CountryUS
Manufacturer Postal Code91352
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSSCOR
Generic NameVX-2
Product CodeBTA
Date Received2019-02-04
Model Number2310BV
Catalog Number2310BV
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSSCOR INC.
Manufacturer Address11064 RANDALL STREET SUN VALLEY CA 91352 US 91352


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-04

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