inforMED
MalfunctionBTM

ADULT BAGEASY RESUSCITATOR W/PEEP AND MASK

Received Jul 21, 2010 · Event occurred Jun 21, 2010

Report 2028807-2010-00002 · MDR key 1775814

Device

Generic name

Bageasy

Manufacturer

Westmed Inc

Model number

562048

Lot number

49092

Product problems

  • Nonstandard Device
  • Unstable
  • Component Missing

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

NO PATIENT INVOLVEMENT. UPON OPENING, THE CUSTOMER NOTICED THAT THE PRODUCT WAS MISSING THE RETENTION RING AND WAS UNSTABLE. FACILITY PERFORMED STOCK INVESTIGATION AFTER INITIAL REPORT AND FOUND A SECOND UNIT MISSING THE RETENTION RING.

Additional Manufacturer Narrative

ADDITIONAL LOT # 48807. PRODUCT RETURN FROM CUSTOMER CONFIRMED PRODUCT WAS MISSING RETENTION RING AND THUS UNUSABLE. WESTMED PERFORMED A DEVICE HISTORY RECORD REVIEW ON THE UNIT WITH THE MISSING RING. THE PROBLEM CAUSING THE DISCONNECTION WAS IDENTIFIED AND TRACED TO A SPECIFIC COMPONENT LOT OF RETENTION RINGS USED. ONCE IDENTIFIED, PRODUCT IN STOCK WAS EVALUATED AND DEFECT CONFIRMED TO EXIST ONLY IN PRODUCT USING THIS LOT OF RETENTION RINGS. WESTMED IS RECALLING ALL OF THE FINISHED GOOD BAG EASY PRODUCTS THAT USED THIS SPECIFIC LOT OF RETENTION RINGS. WESTMED HAS UPDATED COMPONENT DRAWINGS FOR THE RETENTION RING TO ENSURE THAT ALL APPROPRIATE DIMENSIONS AND PRODUCT CHARACTERISTICS TO ENSURE PRODUCT FUNCTIONALITY WERE CLEARLY SPECIFIED.

Remedial action

  • Recall