inforMED
MalfunctionBYP

IN CHECK DIAL

Received Mar 9, 2016 · Event occurred Feb 24, 2016

Report MW5060842 · MDR key 5495439

Device

Generic name

In Check Dial

Lot number

79058

Product problems

  • Detachment Of Device Component
  • Device Operates Differently Than Expected

Patient

57 YR

  • No Code Available
  • No Code Available

Narrative

Description of Event or Problem

SUBJECT PARTICIPATING IN (B)(6). DURING VISIT, SUBJECT WAS TO COMPLETE PIFR TEST PER PROTOCOL. WHEN SUBJECT TOOK INHALATION BREATH WITH DEVICE IN MOUTH, CIRCULAR VALVE ON ATTACHMENT BECAME DETACHED AND WAS SUCKED INTO SUBJECT'S THROAT. SUBJECT WAS ABLE TO COUGH TO BRING PIECE OUT OF MOUTH. MANUFACTURER AWARE.