inforMED
MalfunctionBTM

SUNMED HOLDINGS LLC

Received Nov 18, 2022 · Event occurred Sep 11, 2022

Report 1314417-2022-00021 · MDR key 15827984

Device

Generic name

Small Adult Airflow W/manometer

Model number

AF5140MB

Catalog number

AF5140MB

Lot number

UNKNOWN

Product problems

  • Defective Component
  • Defective Component

Patient

25 YR · Male

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

Narrative

Additional Manufacturer Narrative

REPORTABLE AS NOT ABLE TO PROVIDE RESPIRATORY SUPPORT TO THE PATIENT. THE BVM MALFUNCTIONING WOULD POTENTIALLY 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

BVM MALFUNCTIONED AND PATIENT WAS NOT ABLE TO BE VENTILATED FOR AN UNKNOWN REASON.

Additional Manufacturer Narrative

REPORTABLE AS NOT ABLE TO PROVIDE RESPIRATORY SUPPORT TO THE PATIENT. THE BVM MALFUNCTIONING WOULD POTENTIALLY LOWER THE VOLUME DELIVERED TO THE PATIENT. BASED ON THE REPORTED INFORMATION, THE CRITERIA FOR REPORTING AN ADVERSE EVENT HAVE BEEN MET.

Description of Event or Problem

BVM MALFUNCTIONED AND PATIENT WAS NOT ABLE TO BE VENTILATED FOR AN UNKNOWN REASON.