CLAY ADAMS 20034-112

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-11-10 for CLAY ADAMS 20034-112 manufactured by Becton Dickinson And Co..

Event Text Entries

[11824] Cantor tube removed from pt without mercury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1003978
MDR Report Key17562
Date Received1994-11-10
Date of Report1994-10-20
Date of Event1994-10-19
Date Added to Maude1994-11-14
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCLAY ADAMS
Generic NameCANTOR TUBE
Product CodeFEF
Date Received1994-11-10
Catalog Number20034-112
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key17483
ManufacturerBECTON DICKINSON AND CO.
Manufacturer AddressFRANKLIN LAKES NJ 07417 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1994-11-10

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