inforMED
MalfunctionBTM

AIRFLOW

Received Sep 26, 2019 · Event occurred Aug 29, 2019

Report 1314417-2019-00050 · MDR key 9124783

Device

Generic name

Manual Resuscitator

Model number

AF1140MB-P

Lot number

318557

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 SUSPECT DEVICE WAS RETURNED, AND THE MASK PORT WAS CONFIRMED OUT OF ROUND VIA A VISUAL INSPECTION. CUSTOMER COMPLAINT WAS CONFIRMED.

Description of Event or Problem

THE CUSTOMER ALLEGES THAT "MASK CONNECTION IS MISSHAPEN." NO OTHER DETAILS WERE PROVIDED AND NO PATIENT INJURY/HARM REPORTED.