inforMED
MalfunctionBTM

AMBU SPUR II

Received Jul 2, 2021

Report 9610691-2019-00011 · MDR key 12108131

Device

Generic name

Manual Resuscitator

Catalog number

520211000

Product problems

  • Break

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

THIS MDR IS RESUBMITTED AS IT WAS DISCOVERED THAT THIS MDR HAS NOT BEEN SUCCESSFULLY LOADED INTO FDAS DATABASE. THE INITIAL REPORTING TO FDA OF THIS CASE HAS BEEN DONE TO FDA WITHIN THE ORIGINAL DEADLINE, HOWEVER IN THE WRONG FILE FORMAT TO SUPPORT CORRECT UPLOAD. THIS SUBMISSION REPRESENTS A RELOAD OF DATA TO ENSURE CORRECT UPLOAD TO THE FDA DATABASE. AS DEVICE WAS NOT RETURNED FROM CUSTOMER, THE REPORTED ISSUE CANNOT BE IDENTIFIED. THE REPORTED FACE MASK WAS PACKED BY ACCORDING TO PACKING PROCEDURE AND PACKED IN A PLASTIC BAG. THE MASK WAS MADE UP OF DOME AND CUSHION, WHICH WERE COMBINED WITH GLUE. A PART THAT CAN BREAK OFF FROM THE MASK AND BE SWALLOWED CAN'T BE IDENTIFIED FROM REVIEW OF SIMILAR PRODUCTS OR FROM PACKAGING. FOR THE LAST 3 YEARS, NO COMPLAINTS WITH A SIMILAR ISSUE HAS BEEN REPORTED FOR THE SPUR II OR FACE MASK PRODUCTS.

Description of Event or Problem

AN INMATE AT A PRISON NEEDED TO BE RESUSCITATED AND THE AMBU MASK (PART OF THE SPUR II KIT) WAS USED. THE CUSTOMER REPORTED THAT A PIECE OF THE MASK BROKE OFF AND WAS SWALLOWED BY THE INMATE. THE INMATE WAS IN CRITICAL CONDITION AND THE CUSTOMER INFERRED IT WAS PROBABLY DUE TO THE MASK.