inforMED
MalfunctionDYN

450 SAL EJECTOR 3283

Received Oct 27, 2006

Report 9612030-2006-00037 · MDR key 875561

Device

Generic name

Saliva Ejector

Model number

8881450004

Catalog number

8881450004

Lot number

600304264

Product problems

  • Detachment Of Device Component
  • Component Falling

Patient

YR

  • Unknown (for use when the patient's condition is not known)
  • No Patient involvement

Narrative

Description of Event or Problem

IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL THAT A CUSTOMER HAD A PROBLEM WITH A SALIVA EJECTOR. THE CUSTOMER STATED THAT THE BLUE TIPS ARE FALLING OFF THE ENDS OF THE SUCTION DEVICE.

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.