WESTMED LLC
Received Apr 27, 2023 · Event occurred Mar 14, 2023
Report 2028807-2023-00013 · MDR key 16824695
Device
Generic name
Adult Bageasy, Resuscitator, W/peep And Mask
Manufacturer
Westmed LlcModel number
562048Catalog number
562048
Lot number
UNKNOWN
Product problems
- Fluid/Blood Leak
- Tear, Rip or Hole in Device Packaging
- Detachment of Device or Device Component
- Fluid/Blood Leak
- Tear, Rip or Hole in Device Packaging
- Detachment of Device or Device Component
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
REPORTABLE AS MANUAL RESUSCITATION FAILED TO PROVIDE ADEQUATE VENTILATION. COMPLAINT WAS CONFIRMED. ROOT CAUSE COULD NOT BE DETERMINED FOR IF THE COMPLAINT WAS DUE TO ASSEMBLY ERROR OR HANDLING ERROR WHEN DEVICE WAS BEING PREPPED FOR USE. INVENTORY COULD NOT REPEAT THE REPORTED DEFECT; HOWEVER, AN ADDITIONAL INSPECTION WAS CREATED TO ENSURE PRODUCT MAINTAINS PULL FORCE CONSISTENCY.
Description of Event or Problem
REPORTED FAILURE OF MANUAL SELF-INFLATING RESUSCITATION BAG DEVICE ("AMBU BAG") DURING LARYNGOSCOPY. ANESTHESIA NOTED HIGH PRESSURE TO VENTILATE A PATIENT UNDER GENERAL ANESTHESIA, AFTER INTUBATION. ANESTHESIA SWITCHED TO MANUAL RESUSCITATION WITH CONTINUED DECREASE IN OXYGEN LEVELS. SUBSEQUENT RESPIRATORY AND CARDIAC ARREST. ATTENDING SURGEON PERFORMED EMERGENT TRACHEOSTOMY INCISION, CONFIRMED ENDOTRACHEAL TUBE IN PLACE, AND DID NOT COMPLETE INSERTION OF TRACHEOSTOMY. DIFFERENT BRAND OF RESUSCITATION BAG OBTAINED AND OXYGEN SATURATION RECOVERED. AFTER RETURN OF SPONTANEOUS CIRCULATION, SURGERY ABORTED AND PATIENT ADMITTED TO INTENSIVE CARE UNIT. UPON REVIEW, PREVIOUS EPISODE OF FAILURE OF SELF-INFLATING RESUSCITATION BAG DEVICE (WEST MED BAG EASY RESUSCITATOR REF (B)(4)) IN (B)(6) 2022 AFTER EVENT IN EMERGENCY DEPARTMENT WITH SEVERAL BAGS USED DURING CODE EVENT. FAILURE APPEARS TO BE WHEN BAG IS PULLED FROM THE MOUTHPIECE DURING PREPARATION, CAUSING A LEAK IN THE FLANGE BETWEEN THE HARD PLASTIC MOUTHPIECE AND SOFT BAG PORTION. THIS MAY BE A DISCONNECT OR TEAR IN THE RESERVOIR BAG OR SEAL.
Additional Manufacturer Narrative
REPORTABLE AS MANUAL RESUSCITATION FAILED TO PROVIDE ADEQUATE VENTILATION.
Description of Event or Problem
REPORTED FAILURE OF MANUAL SELF-INFLATING RESUSCITATION BAG DEVICE ("AMBU BAG") DURING LARYNGOSCOPY. ANESTHESIA NOTED HIGH PRESSURE TO VENTILATE A PATIENT UNDER GENERAL ANESTHESIA, AFTER INTUBATION. ANESTHESIA SWITCHED TO MANUAL RESUSCITATION WITH CONTINUED DECREASE IN OXYGEN LEVELS. SUBSEQUENT RESPIRATORY AND CARDIAC ARREST. ATTENDING SURGEON PERFORMED EMERGENT TRACHEOSTOMY INCISION, CONFIRMED ENDOTRACHEAL TUBE IN PLACE, AND DID NOT COMPLETE INSERTION OF TRACHEOSTOMY. DIFFERENT BRAND OF RESUSCITATION BAG OBTAINED AND OXYGEN SATURATION RECOVERED. AFTER RETURN OF SPONTANEOUS CIRCULATION, SURGERY ABORTED AND PATIENT ADMITTED TO INTENSIVE CARE UNIT. UPON REVIEW, PREVIOUS EPISODE OF FAILURE OF SELF-INFLATING RESUSCITATION BAG DEVICE (WEST MED BAG EASY RESUSCITATOR REF (B)(4)) IN (B)(6) 2022 AFTER EVENT IN EMERGENCY DEPARTMENT WITH SEVERAL BAGS USED DURING CODE EVENT. FAILURE APPEARS TO BE WHEN BAG IS PULLED FROM THE MOUTHPIECE DURING PREPARATION, CAUSING A LEAK IN THE FLANGE BETWEEN THE HARD PLASTIC MOUTHPIECE AND SOFT BAG PORTION. THIS MAY BE A DISCONNECT OR TEAR IN THE RESERVOIR BAG OR SEAL.