inforMED
MalfunctionBTM

SUNMED HOLDINGS LLC

Received Oct 17, 2022 · Event occurred Sep 20, 2022

Report 1314417-2022-00020 · MDR key 15614750

Device

Generic name

Small Adult Airflow W/manometer

Model number

AF5140MB

Catalog number

AF5140MB

Product problems

  • Defective Component
  • Difficult to Open or Close
  • Defective Component
  • Difficult to Open or Close

Patient

Unknown

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

Narrative

Description of Event or Problem

THE DUCKBILLED VALVE WOULDN'T OPEN DURING A CODE.

Additional Manufacturer Narrative

A DUCKBILL NOT OPENING DURING CODE WOULD LOWER THE VOLUME DELIVERED TO THE PATIENT. BASED ON THE REPORTED INFORMATION, THE CRITERIA FOR REPORTING AN ADVERSE EVENT HAVE BEEN MET SUMMARY: RETURNED PRODUCT CONFIRMED THE COMPLAINT. DURING INVESTIGATION OF THE DEVICE WITHOUT A MANUFACTURING DATE/LOT NUMBER, IT WAS FOUND THAT THE DEVICE WAS MADE PRIOR TO CERTAIN ENGINEERING CHANGES DATING TO 2015. RA: RMA-20020 CONTAINS APPROPRIATE RISK ASSESSMENT. PREVIOUS CORRECTIVE ACTIONS OF CAPA14-016 AND MI-CO19-0225 ADDRESS THE NON-CONFORMANCE IDENTIFIED BY THIS COMPLAINT.

Description of Event or Problem

THE DUCKBILLED VALVE WOULDN'T OPEN DURING A CODE.

Additional Manufacturer Narrative

A DUCKBILL NOT OPENING DURING CODE WOULD LOWER THE VOLUME DELIVERED TO THE PATIENT. BASED ON THE REPORTED INFORMATION, THE CRITERIA FOR REPORTING AN ADVERSE EVENT HAVE BEEN MET