FDA Adverse Event
Malfunction
Summary report: N
AIRLIFE MISTY FINITY
MDR report key: 6056689
·
Received October 26, 2016
Report
- Report Number
- 6056689
- Event Type
- Malfunction
- Date Received
- October 26, 2016
- Date of Event
- September 23, 2016
- Report Date
- October 17, 2016
- Manufacturer
- CAREFUSION 211, INC.. DBA CAREFUSION
- Product Code
- CAF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS NOTICED THAT AT ONE HOUR INTO A NEBULIZER THERAPY IT WAS TAKING ALMOST TWO HOURS TO COMPLETE. OUR ORGANIZATION'S STAFF TESTED FOUR OTHER NEBULIZERS AND THEY DID NOT NEBULIZE WITHIN SPECIFICATIONS. SPECIFICATIONS ARE +/- 20%. THE ONES THAT WERE MALFUNCTIONING WERE +/- 30-50%. WE WERE ABLE TO PINPOINT IT TO ONE LOT OF PRODUCT BECAUSE WE TESTED FIVE OTHER NEBULIZERS WITH OTHER LOT NUMBERS AND THEY ALL FUNCTIONED WITHIN SPECIFICATIONS. MANUFACTURER IS AWARE. THEY REPLACED THE NEBULIZERS WITH A DIFFERENT LOT NUMBER AND WILL COMPLETE THEIR TESTING AFTER WE RETURN THE PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 709198 | AIRLIFE MISTY FINITY | NEBULIZER, CONTINUOUS | CAF | CAREFUSION 211, INC.. DBA CAREFUSION | 110970 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 8 YR | NO |