BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AIRLIFE INFANT NCPAP GENERATOR KIT

    MDR report key: 1604772 · Received October 21, 2009

    Report

    Report Number
    1604772
    Event Type
    Injury
    Date Received
    October 21, 2009
    Date of Event
    June 26, 2009
    Report Date
    September 17, 2009
    Manufacturer
    CARDINAL HEALTH
    Product Code
    BZD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRLIFE INFANT NCPAP GENERATOR KIT INTERFACE FOR NCPAP BZD CARDINAL HEALTH * Y09C0642
    2 AIRLIFE INFANT NASAL SILICONE MASK NCPAP NASAL SILICONE MASK BZD CARDINAL HEALTH * Y09C0286
    3 DRAGER BABY FLOW DISPOSABLE INTERFACE FOR NCPAP BZD DRAGER MEDICAL * 005447
    4 BABY FLOW PRONG SMALL NASAL PRONGS FOR NCPAP BZD DRAGER MEDICAL * 8006
    5 BABY FLOW MASK SMALL MASK FOR NCPAP BZD DRAGER MEDICAL * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 17 DAY Required Intervention