MEDLINE INDUSTRIES, INC. ANESTHESIA BREATHING BAG; CIRCUIT, BREATHING (W CONNECTOR, ADAPTOR, Y PIECE)
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Device Problems
Crack (1135); Leak/Splash (1354)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 05/19/2021 |
Event Type
malfunction
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Event Description
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Patient induction began, providers went to manually ventilate patient and experienced a leak in the ventilator system.A cracked collar on the anesthesia breathing bag was discovered.Anesthesiologist switched the anesthesia machine to vent mode and two hand ventilated the patient with vent assist.Patient was then intubated without incident.Normally patient is induced, manual ventilation until muscle relaxant sets in and then intubation is conducted.Fda safety report id# (b)(4).
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