FDA Adverse Event Injury Summary report: N

ACUCARE

MDR report key: 5454995 · Received February 18, 2016

Report

Report Number
MW5060417
Event Type
Injury
Date Received
February 18, 2016
Date of Event
February 16, 2016
Report Date
February 18, 2016
Manufacturer
RESMED GERMANY INC.
Product Code
CAT
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

TUBING HAD A TEAR AND OXYGEN WAS NOT GETTING TO THE PATIENT. DIAGNOSIS OR REASON FOR USE: OXYGEN DELIVERY. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED? YES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
101559 ACUCARE HIGH FLOW NASAL CANNULA CAT RESMED GERMANY INC. HFNC 1127973

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention