inforMED
MalfunctionBTM

PORTEX MANUAL RESUSCITATION 1ST RESPONSE AD

Received Sep 15, 2022 · Event occurred Mar 27, 2020

Report 3012307300-2022-19343 · MDR key 15433719

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Model number

8503F

Catalog number

8503F

Lot number

191105

Product problems

  • Missing Information
  • Missing Information

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE IS MISSING THE EXPIRATION DATE. NO PATIENT INJURY WAS REPORTED.

Additional Manufacturer Narrative

REVIEW OF CHANGES RELEVANT TO THE PRODUCT AND LOT NUMBERS REPORTED DETERMINED THAT THE ABSENCE OF THE PRODUCT EXPIRATION DATE WAS NOT THE RESULT OF A MANUFACTURING RELATED ISSUE, BUT PART OF A CHANGE TO OUR PRODUCT'S PACKAGING, PER CUSTOMER FEEDBACK. A MANUFACTURING DEVICE HISTORY RECORD (DHR) REVIEW REQUEST WAS SENT TO THE SUPPLIER; NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE TO DATE. THIS REMEDIATION MDR WAS GENERATED UNDER PROTOCOL (B)(4), AS A RESULT OF WARNING LETTER CMS# (B)(4).