FDA Adverse Event Malfunction Summary report: N

HEATED WIRE BREATHING CIRCUIT

MDR report key: 2121719 · Received May 19, 2011

Report

Report Number
3004365956-2011-00213
Event Type
Malfunction
Date Received
May 19, 2011
Date of Event
April 28, 2011
Report Date
May 2, 2011
Manufacturer
TELEFLEX MEDICAL
Product Code
CAI
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE IS AVAILABLE FOR THE MFR TO EVALUATE. A FOLLOW-UP REPORT WILL BE SENT WHEN INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: COMPLAINT ALLEGES THAT DURING MECHANICAL VENTILATION; A BURNED HOLE WAS FOUND IN THE HUDSON 780-98 NIV HEATED WIRE CIRCUIT. COMPLAINT INDICATES THAT THE RESPIRATORY THERAPIST FORGOT TO TURN OFF THE HEATER AFTER TURNING OFF THE VENTILATOR. THE ALLEGED BURN HOLE WAS FOUND IN THE PROXIMAL PART OF THE CIRCUIT. THERE WERE NO PT INJURIES AS THE PT WAS OFF THE VENTILATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEATED WIRE BREATHING CIRCUIT BREATHING CIRCUIT CAI TELEFLEX MEDICAL UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK HUDSON CONCHATHERM NEPTUNE HEATED HUMIDIFIER,| 425-00