inforMED
MalfunctionBTM

AIRFLOW

Received Oct 9, 2018 · Event occurred Aug 20, 2018

Report 1314417-2018-00040 · MDR key 7948519

Device

Generic name

Resus Bag

Model number

AF1140MB

Lot number

310173

Product problems

  • Appropriate Device Problem Term/Code Not Available
  • Appropriate Device Problem Term/Code Not Available

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • Missing Value Reason
  • No Known Impact Or Consequence To Patient
  • Missing Value Reason

Narrative

Additional Manufacturer Narrative

THE AFFECTED DEVICE WAS NOT RETURNED FOR EVALUATION. AN INVENTORY EVALUATION WAS PERFORMED ON THE SAME PART NUMBER AND NO IRREGULARITIES WERE FOUND. THE INVESTIGATION IS INCONCLUSIVE WITHOUT THE AFFECTED PRODUCT OR PHOTOS OF THE DEVICE.

Description of Event or Problem

THE CUSTOMER ALLEGES THAT " THE MASK ON RESUS BAG WAS DEFLATED." NO OTHER DETAILS WERE PROVIDED AND NO PATIENT INJURY/HARM REPORTED.