FDA Adverse Event Malfunction Summary report: N

HUDSON CONCHA NEPTUNE

MDR report key: 2093318 · Received April 15, 2011

Report

Report Number
3003898360-2011-00158
Event Type
Malfunction
Date Received
April 15, 2011
Date of Event
March 24, 2011
Report Date
March 25, 2011
Manufacturer
TELEFLEX MEDICAL
Product Code
BTT
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT HAS NOT BEEN RETURNED FOR INVESTIGATION AT THE TIME OF THIS REPORT. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: COMPLAINT ALLEGES THE CIRCUIT MELTED WHILE ON PATIENT. IT MELTED ON THE INSPIRATORY LIMB NEAR THE MIDDLE OF THE CIRCUIT. NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HUDSON CONCHA NEPTUNE HEATED HUMIDIFIER BTT TELEFLEX MEDICAL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other