FDA Adverse Event
Malfunction
Summary report: N
HUDSON NASAL CANNULA, OVER-THE-EAR
MDR report key: 1881787
·
Received October 8, 2010
Report
- Report Number
- 3004365956-2010-00254
- Event Type
- Malfunction
- Date Received
- October 8, 2010
- Report Date
- September 21, 2010
- Manufacturer
- TELEFLEX MEDICAL
- Product Code
- BZD
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHARMACIST
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE SAMPLE WAS NOT RETURNED FOR EVAL AT THE TIME OF THIS REPORT.
Description of Event or Problem · 1
THE EVENT IS REPORTED AS: THE TUBING OF THE NASAL CANNULA DISASSOCIATES ITSELF FROM THE MANOMETER AND AS A RESULT THE PT IS NOT RECEIVING OXYGEN THERAPY. NO PT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HUDSON NASAL CANNULA, OVER-THE-EAR | NASAL CANNULA | BZD | TELEFLEX MEDICAL | NA | 02D1000063 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |