MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-13 for AIRLIFE SOFT LARIAT CUSHION CANNULA SFT2600 manufactured by Carefusion.
[69758792]
Patient Sequence No: 1, Text Type: N, H10
[69758793]
In the supply closet, staff found unused airlife adult cushion nasal cannulas in closed packages with white residue all over the tubing.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 6398660 |
| MDR Report Key | 6398660 |
| Date Received | 2017-03-13 |
| Date of Report | 2017-03-02 |
| Date of Event | 2017-02-09 |
| Report Date | 2017-03-02 |
| Date Reported to FDA | 2017-03-02 |
| Date Reported to Mfgr | 2017-03-02 |
| Date Added to Maude | 2017-03-13 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | AIRLIFE SOFT LARIAT CUSHION CANNULA |
| Generic Name | OXYGEN ADMINISTRATION KIT |
| Product Code | OGL |
| Date Received | 2017-03-13 |
| Returned To Mfg | 2017-02-21 |
| Catalog Number | SFT2600 |
| Lot Number | 0000882081 |
| Device Availability | R |
| Device Age | 0 YR |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CAREFUSION |
| Manufacturer Address | 400 EAST FOSTER RD MANNFORD OK 74044 US 74044 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-03-13 |