FDA Adverse Event Malfunction Summary report: N

VENTILATOR, NON-CONTINUOUS (RESPIRATOR)

MDR report key: 9888534 · Received March 27, 2020

Report

Report Number
9888534
Event Type
Malfunction
Date Received
March 27, 2020
Date of Event
August 8, 2019
Report Date
March 13, 2020
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Product Problem
Yes
Report Source
User Facility report
Reporter Location
OH
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

STAFF CALLED TO PATIENT'S ROOM FOR ACT. PATIENT IN RESPIRATORY DISTRESS, GASPING, INCREASED O2 CONSUMPTION FROM 3 TO 9 LITERS PER MINUTE. ATTEMPTED TO PLACE ON NIV, HOWEVER WAS UNABLE TO REMOVE CLEAR VENTED ELBOW TO REPLACE THE BLUE UNVENTED ELBOW CAUSING APPROXIMATELY A TEN MINUTE DELAY IN PLACEMENT OF PATIENT ON NIV. PATIENT IMPROVED AFTER APPROXIMATELY TEN MINUTES ON NIV RR 23 UNLABORED, ON NIV, ALERT -- RESPONDING TO NAME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
351035 VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. 190212

Patients

Seq Age Sex Outcome Treatment
1 21535 DA