inforMED
MalfunctionDYN

450 SAL EJECTOR 3283

Received Aug 3, 2007 · Event occurred Jun 29, 2007

Report 9612030-2007-00038 · MDR key 889024

Device

Generic name

Sal Ejector

Model number

8881450004

Catalog number

8881450004

Lot number

513506064

Product problems

  • Detachment Of Device Component

Patient

YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH THE SAL EJECTOR. THE CUSTOMER STATED: THE TIP PART WAS DETACHED AND LOST IN USE. THE PT WAS UNCONSCIOUS AND TRANSPORTED TO THE EMERGENCY ROOM, THEREFORE THE PT WAS NOT ABLE TO SPIT OUT ANY FOREIGN MATERIAL IN HIS MOUTH. TO FIND THE TIP FELL OFF, THE CUSTOMER TOOK AN X-RAY, BUT IT COULD NOT BE FOUND. TWO DAYS LATER, DURING THE ORAL CARE ON THE PT, THE TIP WAS FOUND. NO HARM ON THE PT CAUSED BY THIS INCIDENT.

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY; UPON COMPLETION, THE RESULTS WILL BE FORWARDED.