BEUDAMED
    FDA Adverse Event Death Summary report: N

    VENTLAB AMBU BAG

    MDR report key: 363227 · Received November 28, 2001

    Report

    Report Number
    363227
    Event Type
    Death
    Date Received
    November 28, 2001
    Date of Event
    November 26, 2001
    Report Date
    November 27, 2001
    Manufacturer
    VENTLAB CORPORATION
    Product Code
    BTM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WENT INTO CARDIAC ARREST. CRASH CART BROUGHT TO ROOM. DISPOSABLE AMBU BAG WOULDN'T INFLATE; HAD TO OBTAIN REPLACEMENT (TOOK APPROX ONE-TWO MINUTES). CODE CARRIED OUT BUT PT EXPIRED. UNSURE IF ONE-TWO MINUTES DELAY IMPACTED OUTCOME OR NOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    53566 VENTLAB AMBU BAG DISPOSABLE AMBU BAG BTM VENTLAB CORPORATION VN 1000 SERIES UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Death