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 |