BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AIRLIFE SOFT LARIAT CUSHION CANNULA

    MDR report key: 6398660 · Received March 13, 2017

    Report

    Report Number
    6398660
    Event Type
    Malfunction
    Date Received
    March 13, 2017
    Date of Event
    February 9, 2017
    Report Date
    March 2, 2017
    Manufacturer
    CAREFUSION
    Product Code
    OGL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN THE SUPPLY CLOSET, STAFF FOUND UNUSED AIRLIFE ADULT CUSHION NASAL CANNULAS IN CLOSED PACKAGES WITH WHITE RESIDUE ALL OVER THE TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    181114 AIRLIFE SOFT LARIAT CUSHION CANNULA OXYGEN ADMINISTRATION KIT OGL CAREFUSION 0000882081

    Patients

    Seq Age Sex Outcome Treatment
    1 NO PATIENT INVOLVED IN THE EVENT.