MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-31 for CARBON DIOXIDE ABSORBENT CANISTER manufactured by Amsorb.
[1583536]
Defective amsorb canister with a manufacturer's defect resulting in virtually no flow through the canister.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5015398 |
| MDR Report Key | 1651069 |
| Date Received | 2010-03-31 |
| Date of Report | 2010-03-31 |
| Date of Event | 2010-03-16 |
| Date Added to Maude | 2010-04-09 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CARBON DIOXIDE ABSORBENT CANISTER |
| Generic Name | AMSORB |
| Product Code | CBL |
| Date Received | 2010-03-31 |
| Lot Number | 190109F21 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | AMSORB |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2010-03-31 |