inforMED
MalfunctionBTM

AIRFLOW SMALL ADULT RESUSCITATOR WITH MANOMETER, FILTER, MASK, BAG RESERVOIR & P

Received Jan 24, 2022 · Event occurred Jan 18, 2022

Report MW5106924 · MDR key 13342864

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Model number

AF5140MBP

Catalog number

0086

Lot number

2103293

Product problems

  • Break

Patient

Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

STAFF GETTING AMBU BAG READY FOR INTUBATION AND DEVICE BROKE. FDA SAFETY REPORT ID# (B)(4).