FDA Adverse Event Malfunction Summary report: N

NEOPUFF INFANT RESUSCITATOR

MDR report key: 4472543 · Received February 1, 2015

Report

Report Number
9611451-2015-00039
Event Type
Malfunction
Date Received
February 1, 2015
Report Date
January 20, 2015
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTL
PMA / PMN Number
K892885
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). METHOD: THE COMPLAINT NEOPUFF WAS RECEIVED AT OUR REGIONAL OFFICE IN (B)(6), WHERE IT WAS INSPECTED BY A TRAINED FISHER & PAYKEL HEALTHCARE SERVICE ENGINEER. OUR INVESTIGATION IS BASED ON PHOTOGRAPHS AND INFORMATION PROVIDED BY OUR (B)(4) OFFICE. RESULTS: VISUAL INSPECTION OF THE PHOTOGRAPHS OF THE SUBJECT NEOPUFF REVEALED THAT THE GAS OUTLET PORT AND THE UPPER END CAP WERE CRACKED. A LOT CHECK REVEALED NO OTHER COMPLAINTS OF THIS NATURE FOR LOT 090317. CONCLUSION: THE NATURE OF THE CRACKING SUGGESTS THAT THE DEVICE HAS SUSTAINED SOME FORM OF IMPACT DAMAGE. THE NEOPUFF IS A PORTABLE, REUSABLE DEVICE USED TO ASSIST IN THE DELIVERY OF RESPIRATORY BREATHS TO INFANTS UNTIL ADEQUATE SPONTANEOUS BREATHING OCCURS. BEING A PORTABLE DEVICE, THE NEOPUFF CAN BE SUSCEPTIBLE TO IMPACT DAMAGE, FOR INSTANCE WHEN ACCIDENTALLY DROPPED OR SUBJECTED TO CONSIDERABLE EXTERNAL FORCE. THE NEOPUFF TECHNICAL MANUAL WARNS AGAINST DROPPING THE NEOPUFF OR SUBJECTING IT TO IMPACT DAMAGE WHICH MAY CAUSE THE UNIT TO OPERATE INCORRECTLY. IF THE NEOPUFF IS SUSPECTED TO HAVE BEEN DAMAGED, THE MANOMETER AND VALVE SYSTEM SHOULD BE PERFORMANCE TESTED. THE NEOPUFF TECHNICAL MANUAL STATES THE FOLLOWING: "DROPPING THE NEOPUFF / PERIVENT INFANT RESUSCITATOR OR OTHER SIMILAR FORMS OF IMPACT MAY CAUSE DAMAGE RESULTING IN INCORRECT OPERATION OF THE UNIT. IF YOU SUSPECT DAMAGE TO HAVE OCCURRED, PLEASE PERFORM CHECKS AS OUTLINED [IN THE MANUAL] BEFORE CONNECTION TO A PATIENT". THE NEOPUFF WAS REPAIRED BY THE (B)(6) FISHER & PAYKEL HEALTHCARE SERVICE CENTRE AND RETURNED TO THE CUSTOMER AFTER PASSING THE SAFETY AND PERFORMANCE CHECKS.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED THAT AN RD900 NEOPUFF INFANT RESUSCITATOR HAD A BROKEN GAS OUTLET CONNECTOR AND REQUESTED A REPAIR. NO PATIENT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73379 NEOPUFF INFANT RESUSCITATOR BTL BTL FISHER & PAYKEL HEALTHCARE LTD RD900 090317

Patients

Seq Age Sex Outcome Treatment
1