FDA Adverse Event Malfunction Summary report: N

NEOPUFF INFANT RESUSCITATOR

MDR report key: 6150196 · Received December 6, 2016

Report

Report Number
9611451-2016-00835
Event Type
Malfunction
Date Received
December 6, 2016
Report Date
November 10, 2016
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTL
PMA / PMN Number
K892885
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). METHOD: ONLY THE MANOMETER OF THE COMPLAINT RD900 NEOPUFF INFANT RESUSCITATOR WAS RETURNED TO FISHER & PAYKEL HEALTHCARE IN (B)(4) FOR EVALUATION. THE SUBJECT MANOMETER WAS FITTED INTO A KNOWN GOOD VALVE SYSTEM AND TESTED ACCORDING TO THE NEOPUFF TECHNICAL MANUAL. RESULTS: PERFORMANCE TESTING REVEALED THAT THE MANOMETER WAS OUT OF SPECIFICATION. A LOT CHECK REVEALED ONE OTHER COMPLAINT OF THIS NATURE FOR LOT 050623. CONCLUSION: 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. WE NOTE THAT THE COMPLAINT NEOPUFF IS OVER 10 YEARS OLD. 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 COMPLAINT NEOPUFF WAS REPAIRED AT OUR US SERVICE CENTER AND RETURNED TO THE CUSTOMER AFTER PASSING PERFORMANCE CHECKS SPECIFIED IN THE NEOPUFF TECHNICAL MANUAL.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED THAT AN RD900 NEOPUFF INFANT RESUSCITATOR REQUIRED CALIBRATION. A SERVICE WAS REQUESTED. NO PATIENT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
798065 NEOPUFF INFANT RESUSCITATOR BTL BTL FISHER & PAYKEL HEALTHCARE LTD RD900 050623

Patients

Seq Age Sex Outcome Treatment
1