VITAL SIGNS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-22 for VITAL SIGNS manufactured by Carefusion.

Event Text Entries

[97904438]
Patient Sequence No: 1, Text Type: N, H10


[97904439] Pressure bag for water bag on hfov not retaining air fill. Re-inflated x2 overnight but continued not to hold air. Bag re-inflated, but continued to lose air. Bag changed out and saved for risk management.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7209564
MDR Report Key7209564
Date Received2018-01-22
Date of Report2018-01-08
Date of Event2018-01-07
Report Date2018-01-08
Date Reported to FDA2018-01-08
Date Reported to Mfgr2018-01-08
Date Added to Maude2018-01-22
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVITAL SIGNS
Generic NameINFUSOR, PRESSURE, FOR I.V. BAGS
Product CodeKZD
Date Received2018-01-22
OperatorNURSE
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer Address22745 SAVI RANCH PARKWAY YORBA LINDA CA 92887 US 92887


Patients

Patient NumberTreatmentOutcomeDate
10 2018-01-22

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