NEOPUFF INFANT RESUSCITATOR
Report
- Report Number
- 9611451-2021-00499
- Event Type
- Malfunction
- Date Received
- April 27, 2021
- Date of Event
- March 30, 2021
- Report Date
- March 30, 2021
- Product Code
- BTL
- PMA / PMN Number
- K892885
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
(B)(4). METHOD: THE COMPLAINT RD900 NEOPUFF INFANT RESUSCITATOR WAS RETURNED TO THE F&P SERVICE CENTER IN THE US WHERE IT WAS INSPECTED BY A TRAINED F&P SERVICE TECHNICIAN. RESULT: THE F&P SERVICE TECHNICIAN CONFIRMED THAT THE MANOMETER WAS OUT OF SPECIFICATION. CONCLUSION: THE NEOPUFF IS A PORTABLE, REUSABLE DEVICE USED TO ASSIST IN THE DELIVERY OF RESPIRATORY BREATHS TO INFANT UNTIL ADEQUATE SPONTANEOUS BREATHING OCCURS. BEING A PORTABLE DEVICE, THE NEOPUFF CAN BE SUSCEPTIBLE TO DAMAGE, FOR INSTANCE WHEN ACCIDENTALLY DROPPED OR SUBJECTED TO CONSIDERABLE EXTERNAL FORCE. IT SHOULD BE NOTED THAT THE SUBJECT NEOPUFF RESUSCITATOR IS ALMOST 20 YEARS OLD. THE NEOPUFF TECHNICAL MANUAL STATES THE FOLLOWING: - DROPPING THE NEOPUFF INFANT RESUSCITATOR OR OTHER SIMILAR FORMS OF IMPACT MAY CAUSE DAMAGE RESULTING IN INCORRECT OPERATION OF THE UNIT. IF YOU SUSPECT DAMAGE TO HAVE OCCURRED, PLEASE PERFORM CHECKS AS OUTLINED [IN THE MANUAL] BEFORE CONNECTION TO A PATIENT. IN ADDITION, THE NEOPUFF USER INSTRUCTIONS STATE THAT THE USER SHOULD "CHECK MANOMETER READS ZERO WITH NO GAS FLOW" AND CHECK THE PRESSURE SETTINGS "PRIOR TO EVERY USE OF THE NEOPUFF". EACH NEOPUFF UNIT IS ASSEMBLED AND 100% TESTED IN THE PRODUCTION LINE TO VERIFY THAT EACH UNIT CONFORMS TO CRITICAL PRODUCT SPECIFICATIONS. ANY UNIT THAT FAILS IS REJECTED. THE SUBJECT NEOPUFF WOULD HAVE MET THE REQUIRED SPECIFICATION AT TIME OF PRODUCTION.
A HEALTHCARE FACILITY IN PENNSYLVANIA REPORTED THAT A RD900 NEOPUFF INFANT RESUSCITATOR VALVE WAS FAULTY. THERE WAS NO REPORTED PATIENT INVOLVEMENT.
(B)(4). THE COMPLAINT RD900 NEOPUFF INFANT RESUSCITATOR IS CURRENTLY EN ROUTE TO FISHER & PAYKEL HEALTHCARE (F&P) FOR EVALUATION. WE WILL PROVIDE A FOLLOW-UP REPORT UPON COMPLETION OF OUR INVESTIGATION.
A HEALTHCARE FACILITY IN (B)(6) REPORTED THAT A RD900 NEOPUFF INFANT RESUSCITATOR VALVE WAS FAULTY. THERE WAS NO REPORTED PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 632078 | NEOPUFF INFANT RESUSCITATOR | BTL | BTL | RD900 | 011101 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |