FDA Adverse Event
Malfunction
Summary report: N
BIO-MED DEVICES, INC.
MDR report key: 25110922
·
Received May 7, 2026
Report
- Report Number
- 25110922
- Event Type
- Malfunction
- Date Received
- May 7, 2026
- Date of Event
- March 3, 2026
- Report Date
- April 27, 2026
- Manufacturer
- BIO-MED DEVICES, INC.
- Product Code
- CBK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WENT TO [REDACTED] PEDI [PEDIATRIC] OR TO PICK UP PATIENT POST PROCEDURE. PATIENT WAS ON PEEP 7 AND ASKED FOR 100% OXYGEN FROM ANESTHESIA. PATIENT PLACED ON VENT BUT VENT FAILED TO DELIVER OXYGEN TO PATIENT. PATIENT'S SATURATION 60S. RETURNED TO ANESTHESIA VENT AND OXYGEN CALIBRATION PERFORMED ON TV 100 #1 AND IT STILL DID NOT WORK. VENTILATOR TURNED OFF AND TURNED BACK ON AND THEN IT WORKED AFTER ABOUT 2 MINUTES. IN THE MEANTIME, I CALLED FOR ANOTHER TRANSPORT VENT THAT WAS USED TO TRANSPORT INFANT WITHOUT INCIDENT. TV 100 #1 PULLED AND RETURNED TO DEPARTMENT. SUPERVISOR MADE AWARE OF SITUATION ALONG WITH CHARGE RT [RESPIRATORY THERAPY]. MANUFACTURER RESPONSE FOR TRANSPORT VENTILATOR, TV100 (PER SITE REPORTER).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 624222 | BIO-MED DEVICES, INC. | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | BIO-MED DEVICES, INC. | TV-100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |