inforMED
MalfunctionBTM

SUNMED LLC

Received Feb 16, 2024 · Event occurred Jan 15, 2024

Report 1314417-2024-00012 · MDR key 18727884

Device

Generic name

Small Adult Airflow W/manometer

Model number

AF5140MB

Catalog number

AF5140MB

Lot number

462079

Product problems

  • Disconnection
  • Disconnection

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

COULD DELAY RESUSCITATION OF THE PATIENT.

Description of Event or Problem

THE END OF THE RESUSCITATION BAG POPPED OFF.

Additional Manufacturer Narrative

COULD DELAY RESUSCITATION OF THE PATIENT. THE COMPLAINT OF THE END OF THE RESUSCITATION BAG POPPING OFF INVOLVING PART AF5140MB WAS CONFIRMED. A ROOT CAUSE WAS DETERMINED TO BE THE MANUAL ASSEMBLY OPERATION WAS NOT CONDUCTED PROPERLY. A RISK ASSESSMENT WAS PERFORMED, AND THE ULTIMATE RISK WAS DETERMINED TO BE SERIOUS / CAPA OPTIONAL, WHICH DOES NOT REQUIRE THE INITIATION OF A CAPA. THERE HAVE BEEN NO OTHER COMPLAINTS REGARDING THE SAME PART AND A SIMILAR ISSUE WITHIN THE 24 MONTHS PRECEDING THIS REPORTED EVENT. A RESOLUTION LETTER WAS SENT TO THE CUSTOMER. COMPLAINTS WILL CONTINUE TO BE MONITORED FOR POSSIBLE TRENDS.

Description of Event or Problem

THE END OF THE RESUSCITATION BAG POPPED OFF.