RESQPUMP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-03-02 for RESQPUMP manufactured by .

Event Text Entries

[137675748] The force gauge was zeroed when first removed from the box. When the pump was compressed for the first time, it got stuck at (b)(6). After taking the clamshell apart, the spring and gauge were in the correct orientation. The pushrod could be pulled out but it was tough to do so. Part of the pushrod stem was covered with loctite. When the pump was reassembled, the gauge worked normally. The investigation indicates that an excessive amount of loctite was put on the pushrod stem which caused it to get stuck temporarily during compression.
Patient Sequence No: 1, Text Type: N, H10


[137675749] This resqpump was identified during the daily check of the device and not during patient care. The resqpump's red arrow on the force gauge sticks and does not always return to the "zero" position.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003477173-2019-00005
MDR Report Key8384430
Report SourceHEALTH PROFESSIONAL
Date Received2019-03-02
Date of Report2019-03-01
Date of Event2019-02-05
Date Mfgr Received2019-02-06
Device Manufacturer Date2016-01-01
Date Added to Maude2019-03-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDIANE HOWELL
Manufacturer Street1905 COUNTY ROAD C WEST
Manufacturer CityROSEVILLE MN 55113
Manufacturer CountryUS
Manufacturer Postal55113
Manufacturer Phone6514035600
Manufacturer G1ADVANCED CIRCULATORY
Manufacturer Street1905 COUNTY ROAD C WEST
Manufacturer CityROSEVILLE MN 55113
Manufacturer CountryUS
Manufacturer Postal Code55113
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameRESQPUMP
Product CodePIZ
Date Received2019-03-02
Returned To Mfg2019-03-01
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-02

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.