FDA Adverse Event Malfunction Summary report: N

HUDSON NUP-DRAFT II OPTI-NEB NEUBILIZER W/RES

MDR report key: 2359857 · Received November 8, 2011

Report

Report Number
3004365956-2011-00481
Event Type
Malfunction
Date Received
November 8, 2011
Date of Event
October 31, 2011
Report Date
November 2, 2011
Manufacturer
TELEFLEX MEDICAL
Product Code
CAF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE SAMPLE WAS NOT RECEIVED BY THE MANUFACTURER AT THE TIME OF THIS REPORT. A FOLLOW-UP REPORT WILL BE SENT WHEN COMPLETION OF INVESTIGATION.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: COMPLAINT ALLEGES THAT THE OPTINEB LEAKS AROUND THE THREADS THAT CLOSE THE CAP. THE ALLEGED ISSUE CAUSED A TIDAL VOLUME ALARM ON THE VENTILATOR. NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HUDSON NUP-DRAFT II OPTI-NEB NEUBILIZER W/RES NEBULIZER CAF TELEFLEX MEDICAL 02G1102061

Patients

Seq Age Sex Outcome Treatment
1