BEUDAMED
    FDA Adverse Event Other Summary report: N

    AMBU SPUR

    MDR report key: 421295 · Received October 10, 2002

    Report

    Report Number
    1220828-2002-00002
    Event Type
    Other
    Date Received
    October 10, 2002
    Date of Event
    August 14, 1902
    Report Date
    October 7, 2002
    Manufacturer
    AMBU, INC.
    Product Code
    BTM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    O2 LINE DISCONNECTED FROM THE BAG, RECONNECTED O2 LINE. NO PATIENT HARM OR INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMBU SPUR DISPOSABLE MANUAL RESUSCITATOR BTM AMBU, INC. 444 200 028 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention