MalfunctionDYN
450 SAL EJECTOR 3283
Received Aug 21, 2009
Report 9612030-2009-00025 · MDR key 1493979
Device
Generic name
Saliva Ejector
Manufacturer
CovidienModel number
8881450004Catalog number
8881450004
Lot number
900703264
Product problems
- Detachment Of Device Component
Patient
UNK
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
IT WAS REPORTED TO COVIDIEN ON 08/14/2009 THAT A CUSTOMER HAD AN ISSUE WITH A SALIVA EJECTOR. THE CUSTOMER STATES THE TIP FELL OFF IN A PT'S MOUTH.
Additional Manufacturer Narrative
(B) (4). AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.