inforMED
MalfunctionBTM

AIRFLOW, VENTLAB

Received Oct 17, 2022 · Event occurred Sep 16, 2022

Report 15619260 · MDR key 15619260

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Catalog number

AF5140MB

Product problems

  • Failure to Deliver

Patient

24455 DA · Male

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

Narrative

Description of Event or Problem

RRT (RESPIRATORY THERAPIST) WAS CALLED TO THE BEDSIDE (UNV ED NORTH 20) FOR ASSISTANCE OF INTUBATION OF A PATIENT. RRT GATHERED ALL NECESSARY EQUIPMENT AND CHECKED TO ENSURE FUNCTIONALITY OF EQUIPMENT INCLUDING BAG VALVE MASK AND VENTILATOR. PATIENT WAS INTUBATED BY RESIDENT AND BVM (BAG VALVE MASK) WAS PLACED ON PATIENT AT WHICH TIME IT MALFUNCTIONED, FAILING TO DELIVER VOLUME TO THE PATIENT. BVM WAS TAKEN OFF THE PATIENT AND PATIENT PLACED ON THE VENTILATOR WHERE THEY WERE SUCCESSFULLY VENTILATED WITHOUT ISSUE.