FDA Adverse Event Malfunction Summary report: N

KIWI

MDR report key: 1507817 · Received October 6, 2009

Report

Report Number
1507817
Event Type
Malfunction
Date Received
October 6, 2009
Date of Event
October 6, 2009
Report Date
October 6, 2009
Manufacturer
CLINICAL INNOVATIONS, INC.
Product Code
HDB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA, US

Narratives

Description of Event or Problem · 1

DOCTOR WAS USING THE FLAT KIWI TO HELP DELIVER THE INFANT'S HEAD DURING A C-SECTION WHEN IT BROKE APART. A SECOND KIWI WAS OPENED AND INFANT'S HEAD WAS DELIVERED. AN OBSERVING RESIDENT WROTE - "USED DURING A C-SECTION; USED/PLACED ACCORDING TO MANUFACTURER'S RECOMMENDATIONS. WAS NOT USING VERY MUCH PRESSURE WHEN TUBING DETACHED, EARLY ON - JUST AFTER APPLICATION OF VACUUM."MANUFACTURER RESPONSE (AS PER REPORTER) FOR COMPLETE VACUUM DELIVERY SYSTEM WITH PALM PUMP, KIWI OMNI CUP:THIS INSTANCE JUST HAPPENED TODAY. THIS IS THE FIRST TIME THE DEVICE WAS SAVED. IN THE PAST, THE COMPANY STATED THEY COULD NOT DECIPHER WHAT WENT WRONG.

Description of Event or Problem · 1

DOCTOR WAS USING THE FLAT KIWI TO HELP DELIVER THE INFANT'S HEAD DURING A C-SECTION WHEN IT BROKE APART. A SECOND KIWI WAS OPENED AND INFANT'S HEAD WAS DELIVERED. AN OBSERVING RESIDENT WROTE - "USED DURING A C-SECTION; USED/PLACED ACCORDING TO MANUFACTURER'S RECOMMENDATIONS. WAS NOT USING VERY MUCH PRESSURE WHEN TUBING DETACHED, EARLY ON - JUST AFTER APPLICATION OF VACUUM."MANUFACTURER RESPONSE (AS PER REPORTER) FOR COMPLETE VACUUM DELIVERY SYSTEM WITH PALM PUMP, KIWI OMNI CUP:THIS INSTANCE JUST HAPPENED TODAY. THIS IS THE FIRST TIME THE DEVICE WAS SAVED. IN THE PAST, THE COMPANY STATED THEY COULD NOT DECIPHER WHAT WENT WRONG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KIWI VACUUM ASSISTED DELIVERY SYSTEM HDB CLINICAL INNOVATIONS, INC. KIWI OMNI CUP H833 VAC 090722

Patients

Seq Age Sex Outcome Treatment
1 1 DAY