inforMED
MalfunctionBZB

OXYGEN W/FOAM 10/040CM/71DG0O +

Received Dec 11, 2015

Report 3005778470-2015-40057 · MDR key 5291115

Device

Generic name

Catheter, Nasal, Oxygen

Manufacturer

Unomedical S.r.o.

Model number

19055339

Lot number

463296

Product problems

  • Kinked
  • Packaging Problem

Patient

Not reported

  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

CONVATEC IS SUBMITTING THIS REPORT AS A RESULT OF ACTIVITIES RELATED TO CONVATEC REMEDIATION PROTOCOL (B)(4) AND PROTOCOL (B)(4). CONVATEC IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21CFR PART 803. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT WILL BE FILED ON A SUPPLEMENTAL REPORT (MEDWATCH 3500A).

Description of Event or Problem

COMPLAINANT REPORTS "KINKS IN THE TUBE."