AMBU SPUR II ADULT RESUSCITATOR

Description of Event or Problem

PATIENT WAS BEING RESUSCITATED WITH AMBU BAG/MASK PRIOR TO INTUBATION. DUE TO OXYGEN SATURATION LEVELS BEING LOW, A SECOND AMBU WAS OBTAINED. THE PATIENT WAS ADEQUATELY VENTILATED BY THE SECOND AMBU BAG/MASK. UPON INSPECTION OF THE AMBU AFTER THE CODE, IT WAS DISCOVERED THAT THE EXHALATION VALVE WAS MISSING ON THE FIRST AMBU. THIS MISSING VALVE MAY HAVE CONTRIBUTED IN THE LOW SATURATION LEVEL RESULTING FROM INADEQUATE RESUSCITATION. FDA SAFETY REPORT ID# (B)(4).