REGULATOR, VACUUM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-09 for REGULATOR, VACUUM manufactured by Boehringer Laboratories, Llc.

Event Text Entries

[66877601]
Patient Sequence No: 1, Text Type: N, H10


[66877602] The boehringer suction regulators come with a metal safety tether. According to the instructions from the manufacturer, the tether is to be attached to the suction outlet. However, that is a violation of nfpa-99 code. Manufacturer response for suction regulator safety tether, (brand not provided) (per site reporter): we have asked the rep to remove all the tethers he can find. We will not order the tethers when we order additional regulators. We will remove any missed tethers and have communicated this to the nursing staff.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6313781
MDR Report Key6313781
Date Received2017-02-09
Date of Report2017-01-20
Date of Event2016-12-09
Report Date2017-01-20
Date Reported to FDA2017-01-20
Date Reported to Mfgr2017-01-20
Date Added to Maude2017-02-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameREGULATOR, VACUUM
Product CodeKDP
Date Received2017-02-09
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Age6 MO
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBOEHRINGER LABORATORIES, LLC
Manufacturer Address300 THOMS DRIVE PHOENIXVILLE PA 19460 US 19460


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-09

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