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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TELEFLEX MEDICAL HUDSON HUMID-VENT 2S FLEX,CLEAN; CONDENSER, HEAT AND MOISTURE (

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TELEFLEX MEDICAL HUDSON HUMID-VENT 2S FLEX,CLEAN; CONDENSER, HEAT AND MOISTURE ( Back to Search Results
Catalog Number 17732
Device Problem Stretched (1601)
Patient Problem No Patient Involvement (2645)
Event Date 07/01/2019
Event Type  malfunction  
Manufacturer Narrative
(b)(4).
 
Event Description
Complaint reported as: the tubing thought to be defective.Tubing came out of package unsafe to use.The anesthesia provider opened the humid-vent to place on the patient's circuit.Upon opening the package, the provider noticed the neck of the device was stretched.It was not used on the patient.
 
Manufacturer Narrative
Qn#(b)(4).The sample was returned for evaluation.A visual exam was performed and it was observed that the tubing was stretched.Based on the visual exam, the reported complaint is confirmed.The tube can become stretched if extra force is applied to the tube.At the manufacturing site, a 100% visual exam and leak testing is conducted; therefore, any defect of this type would be detected prior to release.The ifu for this product mentions that this product must be stored in a cool and dry place, protected from light and ozone.Instructions mention to check the system for leakages.
 
Event Description
Complaint reported as: the tubing thought to be defective.Tubing came out of package unsafe to use.The anesthesia provider openend the humid-vent to place on the patient's circuit.Upon opening the package, the provider noticed the neck of the device was stretched.It was not used on the patient.
 
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Brand Name
HUDSON HUMID-VENT 2S FLEX,CLEAN
Type of Device
CONDENSER, HEAT AND MOISTURE (
Manufacturer (Section D)
TELEFLEX MEDICAL
perak, west malaysia
MDR Report Key8974385
MDR Text Key156897139
Report Number8040412-2019-00241
Device Sequence Number1
Product Code BYD
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other,user facility
Type of Report Initial,Followup
Report Date 08/15/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number17732
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/21/2019
Initial Date Manufacturer Received 08/15/2019
Initial Date FDA Received09/09/2019
Supplement Dates Manufacturer Received10/04/2019
Supplement Dates FDA Received10/04/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
NONE REPORTED; NONE REPORTED; NONE REPORTED
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