Per end user, "i had an incident sat.(b)(6) 2014 in which i was intubating a patient and after getting the ett placed, i tried to remove the mask and it was stuck.I continued to try to remove the mask without success, but eventually the plastic end broke off with the mask and so i was not able to ventilate the patient and needed someone to run and get me a new ambu bag." "i reproduced the incident with a new bag and found that when the mask is tightly attached to the bag the swivel is taken off with the mask unless the swivel is held to the bag.".
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