BEUDAMED
    FDA Adverse Event Other Summary report: N

    AMBU SPUR II ADULT RESUSCITATOR

    MDR report key: 3601989 · Received January 27, 2014

    Report

    Report Number
    MW5034110
    Event Type
    Other
    Date Received
    January 27, 2014
    Date of Event
    January 20, 2014
    Report Date
    January 27, 2014
    Manufacturer
    AMBU INC.
    Product Code
    BTM
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT REQUIRED AMBU VENTILATION AFTER SEDATION. OPENED UP SEALED AMBU BAG AND THERE WAS NO MASK IN THE BAG. ANOTHER AMBU BAG WAS RETRIEVED. NO HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    58433 AMBU SPUR II ADULT RESUSCITATOR PATIENT RESUSCITATOR BTM AMBU INC. 1424655

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Other