inforMED
InjuryBTM

AIRFLOW RESUSCITATION BAG

Received Sep 30, 2014 · Event occurred Feb 18, 2014

Report 2246980-2014-00032 · MDR key 4147213

Device

Manufacturer

Ventlab Corp.

Model number

AF1100MB

Lot number

106474

Product problems

  • Failure to Deliver
  • No Flow

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THIS BELATED MDR IS BEING SUBMITTED AS PART OF OUR REMEDIATION EFFORTS IN RESPONSE TO THE FDA FORM 483 NOTIFICATION ISSUED ON (B)(4) 2014 BY (B)(6) TO VENTLAB, LLC. THIS EFFORT CONSISTS OF 48 MDR'S. THE AFFECTED DEVICE WAS NOT INVESTIGATED. HOWEVER, VENTLAB PERFORMED QUALITY TRENDING, PRODUCT INVESTIGATION AND CORRECTIVE ACTIONS TO SOLVE THE ROOT CAUSES. THE SOLUTIONS WERE IMPLEMENTED LAST YEAR AND A RECALL WAS INITIATED IN MAY OF THIS YEAR.

Description of Event or Problem

THE PATIENT WAS CODING AND USED RESUSCITATION BAG. VALVE WOULD NOT ALLOW ANY AIR FLOW DURING PATIENT USE. RESOLVED PROBLEM BY OBTAINING ANOTHER RESUSCITATION BAG. CONFIRMED WITH HOSPITAL STAFF THAT THE PATIENT PASSED AWAY DUE TO THEIR MEDICAL CONDITION. DELAY TO OBTAIN SECOND BAG DID NOT CAUSE DEATH.

Remedial action

  • Recall