VYAIRE MEDICAL INC. RESUS, INF W/MASK, 40" TBG,P/O; CARDIOPULMONARY RESUSCITATION AID KIT
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Model Number RESUS, INF W/MASK, 40" TBG,P/O |
Device Problem
Disconnection (1171)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 07/16/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The device history record for the part number 2k8010br with lot number 0001107228 and udi code (b)(4) was reviewed in order to detect any issue related to the reported defect during its manufacture.The complete lot was manufactured, inspected, and released on 02jun2017 per our internal procedures and no issues were found.Based on the investigation since no sample or pictures were provided, we could not confirm the defect.Sample or pictures are needed to perform a better investigation.In addition, pfmea-(b)(4) was reviewed and we have the control for the reported failure mode.However, code 2k8010br was not added by mistake.Vyaire medical will submit a supplemental report in accordance with 21 cfr section 803.56 if additional information becomes available.
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Event Description
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The customer reported that at the connection where the ambu bag and hose come together, the breathing tubes are connecting like a friction slip and the standard is a lock connection.With the slip connect, any pressure pops the tube out rendering the device unusable.They attempted to use the sample on a patient but it blew apart multiple times.There was no harm reported.
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