FDA Adverse Event Injury Summary report: N

AURA 40 REUSABLE

MDR report key: 12142047 · Received July 9, 2021

Report

Report Number
1220828-2018-00007
Event Type
Injury
Date Received
July 9, 2021
Date of Event
June 13, 2018
Report Date
July 10, 2018
Manufacturer
BESMED HEALTH BUSINESS CORPORATION
Product Code
CAE
Product Problem
Yes
Report Source
Distributor report
Reporter Location
WA, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 1

SUPPLIER IMPLEMENTED 100% INSPECTION IN REFERENCE TO TRIMMING. MANUFACTURE INSTRUCTION FOR USE FOR FUNCTIONAL TESTING PRIOR TO DEVICE USE WAS NOT FOLLOWED BY THE USER. T

Description of Event or Problem · 1

THE NEW LARYNGEAL MASK WAS INSERTED INTO A PATIENT, THERE WAS NO HOLE IN THE TUBING FOR THE OXYGEN AND SEVOFLURANE TO ENTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1038944 AURA 40 REUSABLE LARYNGEAL MASK CAE BESMED HEALTH BUSINESS CORPORATION 703F154

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention