FDA Adverse Event Malfunction Summary report: N

FLEXITRUNK INFANT NASAL TUBING

MDR report key: 2761251 · Received September 26, 2012

Report

Report Number
9611451-2012-00669
Event Type
Malfunction
Date Received
September 26, 2012
Report Date
August 28, 2012
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BZO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). METHOD: THE COMPLAINT BC180 FLEXITRUNK NASAL TUBING WAS RETURNED TO FISHER & PAYKEL HEALTHCARE IN (B)(4) AND WAS VISUALLY INSPECTED FOR THE REPORTED DAMAGE. RESULTS: VISUAL INSPECTION REVEALED A TEAR BETWEEN THE THIRD AND FOURTH SPIRAL IN THE BREATHABLE FILM ON ONE OF THE LIMBS. NO OTHER DAMAGE WAS IDENTIFIED WITH THE RETURNED NASAL TUBING. A LOT CHECK DID NOT REVEAL ANY OTHER COMPLAINTS OF THIS NATURE FOR LOT NUMBER 120417. CONCLUSION: THE TEAR IN THE TUBING WAS ROUGH SUGGESTING THAT THE DAMAGE MAY HAVE OCCURRED AS A RESULT OF ROUGH HANDLING. THE USE OF SUPPORT DEVICES (SUCH AS CHRISTMAS TREES AND ANGEL FRAMES) CAN ALSO DAMAGE THE TUBING. THE USER INSTRUCTIONS THAT ACCOMPANY THE BC180 INFANT NASAL TUBING PROVIDES THE WARNING "USE CAUTION WHEN POSITIONING THE INFANT INTERFACE. SHARP EDGES AND/OR ABRASIVE SURFACES MAY DAMAGE THE PRODUCT". A CAUTION INSERT, WHICH IS INCLUDED IN THE BC180 PACKAGING, REMINDS THE USERS TO TAKE EXTRA CARE WHEN HANDLING THE FLEXITRUNK NASAL TUBING. WE HAVE ONLY RECEIVED TWO OTHER COMPLAINTS OF THIS NATURE.

Additional Manufacturer Narrative · 1

(B)(4). THE COMPLAINT DEVICE IS EN ROUTE TO FISHER & PAYKEL HEALTHCARE IN (B)(4) FOR EVALUATION. WE WILL PROVIDE A FOLLOW UP REPORT UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED TO A FISHER & PAYKEL HELATHCARE REPRESENTATIVE THAT THE NASAL TUBING WAS TORN ON A BC180-05 FLEXITRUNK INFANT NASAL TUBING. NO PATIENT CONSEQUENCE WAS REPORTED.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED TO A FISHER & PAYKEL HEALTHCARE REPRESENTATIVE THAT THE NASAL TUBING WAS TORN ON A BC180-05 FLEXITRUNK INFANT NASAL TUBING. NO PATIENT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FLEXITRUNK INFANT NASAL TUBING BZO BZO FISHER & PAYKEL HEALTHCARE LTD BC180-05 120417

Patients

Seq Age Sex Outcome Treatment
1 RT235 INFANT BIAS FLOW BREATHING CIRCUIT KIT| RT235 INFANT BIAS FLOW BREATHING CIRCUIT KIT