FDA Adverse Event Injury Summary report: N

AVEA VENTILATOR

MDR report key: 6201440 · Received December 22, 2016

Report

Report Number
2021710-2016-05084
Event Type
Injury
Date Received
December 22, 2016
Date of Event
November 24, 2016
Report Date
December 22, 2016
Manufacturer
CAREFUSION, INC
Product Code
CBK
PMA / PMN Number
K103211
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KU
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ANY ADDITIONAL INFORMATION RECEIVED FROM CUSTOMER WILL BE INCLUDED IN A FOLLOW UP REPORT. AT THIS TIME, CAREFUSION HAS NOT RECEIVED THE SUSPECT DEVICE/COMPONENT FOR EVALUATION. THE USER FACILITY IS CONDUCTING FURTHER INVESTIGATIONS TO THE POSSIBLE SOURCES OF THE INFECTIONS. THERE IS NO FURTHER INFORMATION PROVIDED AT THIS TIME AND NO RETURN OF PRODUCTS ARE EXPECTED. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED A GENERAL CONCERN ACROSS THEIR HOSPITAL THAT VENTILATORS WERE POTENTIALLY CAUSING INFECTIONS IN PATIENTS. THE CUSTOMER REPORTED THAT IT WAS NOT ONLY WITH CAREFUSION VENTILATORS BUT ALSO VENTILATORS FROM OTHER MANUFACTURERS. THE CUSTOMER HAS BEEN CHECKING POSSIBLE SYSTEMIC SOURCES OF INFECTION, SUCH AS SUCTIONING CHANNELS, HVAC, AND NON HYGIENIC PRACTICES, BUT HAS NOT FOUND A SOURCE YET. THE CUSTOMER'S INFECTION CONTROL DEPARTMENT IS SUSPECTING THE VENTILATORS AS WELL AS OTHER SOURCES. THERE WAS NO INFORMATION OR DETAILS ON THE INFECTIONS OR CONDITIONS OF THE PATIENTS AND AT THIS TIME THERE IS NO KNOWN ISSUE DIRECTLY RELATED TO THE PERFORMANCE OF THE VENTILATORS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
851482 AVEA VENTILATOR VENTILATOR, CONTINUOUS, FACILITY USE CBK CAREFUSION, INC AVEA

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| L