inforMED
MalfunctionBTM

VITAL SIGNS¿

Received Sep 14, 2021 · Event occurred May 29, 2021

Report 12466664 · MDR key 12466664

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Model number

A4UX2044

Catalog number

A4UX2044

Lot number

21BJA124EXPO2/23

Product problems

  • Material Puncture/Hole
  • Defective Device

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

GASES PRESSURE BAG ON VITAL SIGNS ADULT ANESTHESIA BREATHING CIRCUIT HAS A SMALL HOLE IN THE SEAM AT THE END OF THE BAG. STAFF HAS REPORTED TO ME THERE WERE OTHERS THAT HAD THE SAME DEFECT HOWEVER, NONE WERE SAVED WITH CONCURRENT ITEM BAGS TO ATTAIN LOT NUMBERS. THE ONE I AM IN POSSESSION OF CURRENTLY DOESN'T HAVE THE ORIGINAL PACKAGING AS WELL OR A LOT NUMBER ON THE DEFECTIVE ITEM. MANUFACTURER RESPONSE FOR GASES PRESSURE BAG FOR VITAL SIGNS ADULT ANESTHESIA BREATHING CIRCUIT, (BRAND NOT PROVIDED) (PER SITE REPORTER). VENDOR REQUESTED WE SEND IN THE PACKAGING THE NEXT TIME IT OCCURS, REPLACEMENT PRODUCT RECEIVED.