TUBING FOR CPAP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-06 for TUBING FOR CPAP manufactured by Ag Industries.

Event Text Entries

[66823618] Cpap tubing manufactured by ag industries leaked twice within the past six weeks. This failure constitutes a danger to anyone who has sleep apnea. Replaced tubing after each failure, but am concerned about future failures. Document number: i1710574a. Report number: 20170126-b79e8-2147407649.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067699
MDR Report Key6307502
Date Received2017-02-06
Date of Report2017-01-26
Date of Event2017-01-25
Date Added to Maude2017-02-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameTUBING FOR CPAP
Generic NameTUBING FOR CPAP
Product CodeJAY
Date Received2017-02-06
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerAG INDUSTRIES


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-06

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