inforMED
DeathBTM

MEDLINE

Received Mar 4, 2026 · Event occurred Feb 4, 2026

Report 1417592-2026-00183 · MDR key 24513524

Device

Generic name

Adult Resus Bag,tube Res,mano,peep,filt

Catalog number

CPRM4426FPWM

Lot number

582867

Product problems

  • Gas/Air Leak

Patient

Not reported

  • Cardiac Arrest
  • Hypoventilation
  • Hypoxia

Narrative

Additional Manufacturer Narrative

ACCORDING TO THE CUSTOMER CONTACT ON (B)(6) 2026, RESUSCITATION BAG WAS BEING USED DURING A RESUSCITATION ON A PATIENT BROUGHT INTO THE ER. IT WAS REPORTED "BAG LEAKING AIR/ OXYGEN AREA POPPING OFF THE BACK CAUSING LACK OF OXYGEN DURING RESUSCITATION". ONCE THE ISSUE OCCURRED, THE THERAPIST WAS SWITCHING OUT THE BAG, BUT A CODE BLUE WAS CALLED. PATIENT EXPIRED AND CAUSE OF DEATH WAS REPORTED AS "CARDIAC ARREST. " PER THE FACILITY, IT IS "UNKNOWN" IF THE PRODUCT CAUSED OR CONTRIBUTED TO THE DEATH. INFORMATION RECEIVED TO-DATE HAS BEEN EVALUATED. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO DEATH, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem

ACCORDING TO THE CUSTOMER CONTACT ON (B)(6) 2026, RESUSCITATION BAG WAS BEING USED DURING A RESUSCITATION ON A PATIENT BROUGHT INTO THE ER. IT WAS REPORTED "BAG LEAKING AIR/ OXYGEN AREA POPPING OFF THE BACK CAUSING LACK OF OXYGEN DURING RESUSCITATION." PATIENT EXPIRED AND CAUSE OF DEATH WAS REPORTED AS "CARDIAC ARREST."