inforMED
MalfunctionBTM

SALTER LABS

Received Feb 18, 2022 · Event occurred Feb 17, 2022

Report 1314417-2022-00006 · MDR key 13563602

Device

Generic name

Sm Adult W/man,mask And Peep

Manufacturer

Sunmed

Model number

AF5140MBP

Catalog number

AF5140MBP

Lot number

2110074, 2109221, 2110123

Product problems

  • Unexpected Therapeutic Results

Patient

Unknown

  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

Narrative

Additional Manufacturer Narrative

REBREATHING CO2 CAN CAUSE PERMISSIVE HYPERCARBIA. BASED ON THE REPORTED INFORMATION THE CRITERIA FOR REPORTING AN ADVERSE EVENT HAVE BEEN MET.

Description of Event or Problem

RESUSCITATION BAG IS RETAINING CO2, CAUSED PATIENT TO RE-BREATHE EXHALED CO2. NO OTHER NEGATIVE IMPACT.

Additional Manufacturer Narrative

REBREATHING CO2 CAN CAUSE PERMISSIVE HYPERCARBIA. BASED ON THE REPORTED INFORMATION THE CRITERIA FOR REPORTING AN ADVERSE EVENT HAVE BEEN MET. COMPLAINT OF BACKWARDS LEAK WAS CONFIRMED DURING THE INVESTIGATION. FURTHER TESTING SHOWS THAT ALL RESUSCITATION BAGS, WITH AND WITHOUT MANOMETER, MEET THE ISO STANDARDS. UPDATES TO THE INSTRUCTIONS FOR USE WILL BE ROUTED THROUGH THE CHANGE CONTROL PROCESS, WHICH IS OUTLINED IN SUNMED'S QUALITY MANAGEMENT SYSTEM.

Description of Event or Problem

RESUSCITATION BAG IS RETAINING CO2, CAUSED PATIENT TO RE-BREATHE EXHALED CO2. NO OTHER NEGATIVE IMPACT.