FDA Adverse Event Other Summary report: N

MAGNETIC PEEP VALVE

MDR report key: 280563 · Received June 1, 2000

Report

Report Number
MW1019057
Event Type
Other
Date Received
June 1, 2000
Date of Event
March 10, 2000
Report Date
May 23, 2000
Manufacturer
INSTRUMENTATION INDUSTRIES INC.
Product Code
BYE
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MS, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

POSITIVE END EXPIRATORY PRESSURE (PEEP) VALVE WAS ATTACHED TO THE ENDOTRACHEAL TUBE IN A METHOD WHICH DID NOT ALLOW ADEQUATE VENTILATION. THE DESIGN OF THE PEEP VALVE MAY HAVE ALLOWED INAPPROPRIATE APPLICATION OF THE DEVICE TO OCCUR IN THIS SITUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAGNETIC PEEP VALVE REUSABLE ADJUSTABLE MAGNETIC PEEP VALVE BYE INSTRUMENTATION INDUSTRIES INC. BE 142 NA

Patients

Seq Age Sex Outcome Treatment
1 77 YR Other OHMEDA VENTILATOR.