BARD * 0005290

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-01-14 for BARD * 0005290 manufactured by Davol C R Bard Inc..

Event Text Entries

[87216] Pt delivered infant by cesarean section. Immediately upon delivery, pediatrician tried to suction copious amts of fluid from mouth & nose of infant. Bulb defective, split at seam. Unable to suction. Babe to warmer & suctioned with de lee. Babe under o2/hood following for tachypnea.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number144426
MDR Report Key144426
Date Received1998-01-14
Date of Report1998-01-05
Date of Event1997-12-31
Date Facility Aware1998-01-05
Report Date1998-01-05
Date Added to Maude1998-01-21
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 Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBARD
Generic NameBULB SYRINGE
Product CodeKCP
Date Received1998-01-14
Model Number*
Catalog Number0005290
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeUNKNOWN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key140838
ManufacturerDAVOL C R BARD INC.
Manufacturer Address* COVINGTON GA * US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1998-01-14

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