BEUDAMED
    FDA Adverse Event Death Summary report: N

    PED BAG VALVE MASK

    MDR report key: 1083552 · Received July 31, 2008

    Report

    Report Number
    MW5007819
    Event Type
    Death
    Date Received
    July 31, 2008
    Date of Event
    July 21, 2008
    Report Date
    July 31, 2008
    Manufacturer
    RUSCH
    Product Code
    BTM
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTER REPORTS THAT A 7-MONTH OLD WAS IN CARDIAC ARREST. EMTS WERE CALLED AND THE ONE WAY VALVE DID NOT PROVIDE VENTILATIONS TO PATIENT, AND PATIENT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PED BAG VALVE MASK NONE BTM RUSCH

    Patients

    Seq Age Sex Outcome Treatment
    1 7 MO Death