FDA Adverse Event
Malfunction
Summary report: N
BACTERIAL/ VIRAL FILTER WESTMED
MDR report key: 10406980
·
Received August 14, 2020
Report
- Report Number
- 10406980
- Event Type
- Malfunction
- Date Received
- August 14, 2020
- Date of Event
- August 4, 2020
- Report Date
- August 6, 2020
- Manufacturer
- WESTMED INC.
- Product Code
- CAH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
BACTERIAL/VIRAL FILTER CONNECTED TO THE ANESTHESIA BREATHING CIRCUIT SEPARATED. THIS IS NOT THE FIRST REPORT ON THESE FILTERS. HAPPENING AT ANOTHER HOSPITAL IN OUR SYSTEM ALSO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 873127 | BACTERIAL/ VIRAL FILTER WESTMED | FILTER, BACTERIAL, BREATHING-CIRCUIT | CAH | WESTMED INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |