* 2000I

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report Number1022839
MDR Report Key1022839
Date Received2008-04-01
Date of Report2008-04-01
Date of Event2008-01-20
Report Date2008-04-01
Date Reported to FDA2008-04-01
Date Added to Maude2008-04-03
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameHIGH FLOW CANNULA, CPAP
Product CodeBTK
Date Received2008-04-01
Model Number2000I
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key989072
ManufacturerVAPOTHERM, INC.
Manufacturer Address198 LOG CANOE CIRCLE STEVENSVILLE MD 21666 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-04-01

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