inforMED
MalfunctionDYN

450 SAL EJECTOR 3283

Received Aug 3, 2007 · Event occurred Jul 10, 2007

Report 9612030-2007-00037 · MDR key 889025

Device

Generic name

Sal Ejector

Model number

8881450004

Catalog number

8881450004

Lot number

701504464

Product problems

  • Detachment Of Device Component

Patient

YR

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

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

Description of Event or Problem

IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH A SAL EJECTOR. THE CUSTOMER STATED: THE TIP PART WAS DETACHED.