FDA Adverse Event Injury Summary report: N

SINGLE USE NEBULIZER WITH TUBING

MDR report key: 8074750 · Received November 14, 2018

Report

Report Number
MW5081314
Event Type
Injury
Date Received
November 14, 2018
Date of Event
October 16, 2018
Report Date
November 10, 2018
Manufacturer
ALLIED HEALTHCARE PRODUCTS, INC. AS B & F MEDICAL
Product Code
CAF
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

OXYGEN TUBING WOULD NOT STAY CONNECTED TO NEBULIZER UNDER PRESSURE. THE FITTING AT THE END OF THE TUBING DID NOT APPEAR TO FIT THE NEBULIZER CORRECTLY. THE TUBING REPEATEDLY POPPED OFF DURING PATIENT CARE, THE EMT IN CHARGE HAD TO TAPE THE TUBING IN PLACE. THE POOR FIT WAS VERIFIED BY OTHER EMT'S.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
907747 SINGLE USE NEBULIZER WITH TUBING NEBULIZER (DIRECT PATIENT INTERFACE) CAF ALLIED HEALTHCARE PRODUCTS, INC. AS B & F MEDICAL 64085 VARIOUS

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention