inforMED
MalfunctionBTM

CAREFUSION AMBU BAG

Received Jul 30, 2024 · Event occurred Apr 16, 2024

Report 19860594 · MDR key 19860594

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Catalog number

00041882

Lot number

0004266362

Patient

17 MO · Female

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

Narrative

Description of Event or Problem

A PATIENT WAS BEING EMERGENTLY INTUBATED AND AN AMBU BAG WAS BEING USED FOR POSITIVE PRESSURE VENTILATION. AFTER INTUBATION, THE RESPIRATORY THERAPIST (RT) WAS UNABLE TO SEPARATE THE BAG FROM THE MASK TO GIVE RESPIRATORY SUPPORT THROUGH THE ENDOTRACHEAL TUBE (ETT). IT IS THOUGHT THAT MOISTURE WITHIN THE MASK AND BAG MADE IT DIFFICULT TO SEPARATE, BUT IT WAS ABLE TO FORCEFULLY SEPARATED AFTER THE EVENT.