IN LINE SUCTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-20 for IN LINE SUCTION manufactured by Halyard / Avanos Medical, Inc..

Event Text Entries

[180744425] Per superior of respiratory investigation was not the vent tubing; was inline suction. Stated same snapped in half without cause of movement of pt of pressure. Has equipment in possession. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093162
MDR Report Key9739394
Date Received2020-02-20
Date of Report2020-02-18
Date of Event2020-02-13
Date Added to Maude2020-02-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIN LINE SUCTION
Generic NameCATHETER, SUCTION, TRACHEOBRONCHIAL
Product CodeBSY
Date Received2020-02-20
Lot Number30003200
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHALYARD / AVANOS MEDICAL, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-20

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