BEUDAMED
    FDA Adverse Event Death Summary report: N

    AIRLIFE

    MDR report key: 227807 · Received June 14, 1999

    Report

    Report Number
    227807
    Event Type
    Death
    Date Received
    June 14, 1999
    Date of Event
    May 27, 1999
    Report Date
    June 9, 1999
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    BTM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    POSSIBLE MALFUNCTION OF VALVE ACTION RESULTING IN REDUCED VENTILATION EFFICIENCY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRLIFE ADULT MANUAL RESUSCITATOR BTM ALLEGIANCE HEALTHCARE CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 18 YR Death