BEUDAMED
    FDA Adverse Event Other Summary report: N

    AIRLIFE

    MDR report key: 2395296 · Received January 3, 2012

    Report

    Report Number
    2395296
    Event Type
    Other
    Date Received
    January 3, 2012
    Date of Event
    November 12, 2011
    Report Date
    December 19, 2011
    Product Code
    BWF
    Report Source
    User Facility report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2007, AT 06:27 PM (B)(6) PT GIVEN NEW INSPIROMETER. PT USED IT ONCE WITHOUT INCIDENT, WHEN SHE USED IT FOR SECOND TIME, SHE YELLED I JUST SWALLOWED A HARD ROUND PIECE OF PLASTIC. AFTER THIS INCIDENT, THE INSPIROMETER WOULD NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRLIFE RESPIRATORY PRODUCTS BWF 001902A

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR