inforMED
MalfunctionBTM

VITAL SIGNS¿ ADULT ANESTHESIA BREATHING CIRCUIT

Received Mar 29, 2023 · Event occurred Mar 10, 2023

Report 8030673-2023-00308 · MDR key 16639545

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Catalog number

ADU320X4D

Lot number

0004237265

Product problems

  • Deflation Problem
  • Deflation Problem

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

THE CUSTOMER DID NOT SEND PHYSICAL SAMPLE AND PICTURES SINCE THE SAMPLE USED DUE TO SUPPLY NEEDS. THEREFORE, NO ROOT CAUSE COULD BE DETERMINED. VYAIRE MEDICAL WILL SUBMIT A SUPPLEMENTAL REPORT IN ACCORDANCE WITH 21 CFR SECTION 803.56 IF ADDITIONAL INFORMATION BECOMES AVAILABLE. DEVICE USED DUE TO SUPPLY NEEDS.

Description of Event or Problem

IT WAS REPORTED TO VYAIRE MEDICAL THAT MANY OF THEIR ADU320X4D ANES CIRCUIT, ADULT, 108 IN EXP, 3L BAG HAVE BEEN COMING IN WITHOUT ANY AIR IN THE MASK OR WITH VERY LITTLE AIR. THEY ARE ALL DEFLATED. THIS CAN CAUSE PROBLEMS IN THE CASE OF EMERGENCIES. THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT HARM/INJURY ASSOCIATED WITH THE EVENT.