MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-04-01 for * 2000I manufactured by Vapotherm, Inc..
[811045]
Visible residual was seen in the tubing of a vapotherm cpap unit in use on a patient. Tubing cultured and grew out the organism ralstonia pickettii. A second unit grew out the same organism. No growth from any of the clean units.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1022839 |
MDR Report Key | 1022839 |
Date Received | 2008-04-01 |
Date of Report | 2008-04-01 |
Date of Event | 2008-01-20 |
Report Date | 2008-04-01 |
Date Reported to FDA | 2008-04-01 |
Date Added to Maude | 2008-04-03 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | * |
Generic Name | HIGH FLOW CANNULA, CPAP |
Product Code | BTK |
Date Received | 2008-04-01 |
Model Number | 2000I |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Device Availability | N |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 989072 |
Manufacturer | VAPOTHERM, INC. |
Manufacturer Address | 198 LOG CANOE CIRCLE STEVENSVILLE MD 21666 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2008-04-01 |