FDA Adverse Event
Malfunction
Summary report: N
HUDSON POCKETPEAK, PEAK FLOW METER, UNIVERSAL RA
MDR report key: 3837820
·
Received April 1, 2014
Report
- Report Number
- 1044475-2014-00095
- Event Type
- Malfunction
- Date Received
- April 1, 2014
- Date of Event
- March 19, 2014
- Report Date
- March 19, 2014
- Manufacturer
- TELEFLEX
- Product Code
- BZH
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE SAMPLE WAS NOT RETURNED FOR EVALUATION AT THE TIME OF THIS REPORT.
Description of Event or Problem · 1
THE COMPLAINT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE PEAK FLOW METER IS NOT MEASURING FLOW ON THE PATIENT'S EXPIRATORY VOLUME. THE FLOW INDICATOR STICKS AND SOMETIMES THE FLOW ARROW FALLS OFF. ANOTHER DEVICE WAS USED ON THE PATIENT. THE PATIENT'S CONDITION IS REPORTED AS FINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 193193 | HUDSON POCKETPEAK, PEAK FLOW METER, UNIVERSAL RA | PEAK FLOW METER | BZH | TELEFLEX |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |