inforMED
MalfunctionBTM

AIRFLOW

Received Feb 19, 2019 · Event occurred Jan 15, 2019

Report 1314417-2019-00004 · MDR key 8349582

Device

Generic name

Resuscitation Bag

Model number

AF1140MB

Lot number

315585

Product problems

  • Connection Problem

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE AFFECTED DEVICE WAS NOT RETURNED. BATCH RECORD WAS REVIEWED AND NO ABNORMALITIES FOUND. SAMPLES FROM INVENTORY WERE INSPECTED, PICTURES OF EACH OF THE MASK PORTS TAKEN, SHOWING THEY WERE CONFORMING. EACH PART WAS ABLE TO FIT ON THE PATIENT PORT EASILY. NO OUT OF ROUND PORTS WERE FOUND. INVESTIGATION IS INCONCLUSIVE.

Description of Event or Problem

THE CUSTOMER ALLEGES THAT "MASK WILL NOT ATTACH TO THE BAG." NO OTHER DETAILS WERE PROVIDED AND NO PATIENT INJURY/HARM REPORTED.