PRESSUREEASY * 292004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-08-27 for PRESSUREEASY * 292004 manufactured by Smiths Medical.

Event Text Entries

[20986588] Cuff pressure regulating device failure. The tubing separated for the pressure feedback adapter and created a large leak from the ventilator circuit. The problem was detected quickly and the device was replaced. No harm came to the patient. The device manufacturer was contacted and 2 defective units were sent in for investigation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3329465
MDR Report Key3329465
Date Received2013-08-27
Date of Report2013-08-27
Date of Event2013-08-23
Report Date2013-08-27
Date Reported to FDA2013-08-27
Date Reported to Mfgr2013-09-06
Date Added to Maude2013-09-06
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePRESSUREEASY
Generic NameATTACHMENT, BREATHING
Product CodeBSK
Date Received2013-08-27
Returned To Mfg2013-08-23
Model Number*
Catalog Number292004
Lot Number*
ID Number*
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerSMITHS MEDICAL
Manufacturer Address10 BOWMAN DR. KEENE, NH 03431 US 03431


Patients

Patient NumberTreatmentOutcomeDate
10 2013-08-27

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