VITAL SIGNS #9 ORAL AIRWAY (YELLOW CAP)

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-29 for VITAL SIGNS #9 ORAL AIRWAY (YELLOW CAP) manufactured by Vyaire Medical, Inc..

Event Text Entries

[134968163] Upon extubation, an oral airway was placed. Simultaneously, the crna noted a loose piece of plastic at the top of the airway. When the crna attempted to remove the loose piece of plastic, the patient inhaled and sucked the piece of plastic to the back of her throat. The crna was able to remove the piece of plastic to prevent aspiration.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083544
MDR Report Key8292860
Date Received2019-01-29
Date of Report2019-01-28
Date of Event2019-01-24
Date Added to Maude2019-01-31
Event Key0
Report Source CodeVoluntary 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 Report0

Device Details

Brand NameVITAL SIGNS #9 ORAL AIRWAY (YELLOW CAP)
Generic NameCONNECTOR, AIRWAY (EXTENSION)
Product CodeBZA
Date Received2019-01-29
Lot Number0001199122
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerVYAIRE MEDICAL, INC.
Manufacturer AddressMETTAWA IL 60045 US 60045


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-01-29

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