MAUDE MDR 8446681

MDR report key
8446681
Report number
8040412-2019-00077
Event key
0
Event type
3
Date of event
2019-03-08
Date received
2019-03-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
KATHARINE TARPLEY
Address
3015 CARRINGTON MILL BLVD MORRISVILLE NC 27560 US
Phone
919-919-9194
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HUDSON BACTERIAL/VIRAL FILTERFILTER, BACTERIAL, BREATHING-CTELEFLEX MEDICALCAH1605201826R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-03-240

Event Narratives#

N

Patient 1

(B)(4).

D

Patient 1

CUSTOMER COMPLAINT ALLEGES "THERE MUST BE A LEAK IN THE FILTERS BECAUSE OUR VENTILATORS WOULD NOT PASS THE LEAK TEST WITH THE INSPIRATORY FILTER INLINE, BUT WOULD PASS WITHOUT". ALLEGED ISSUE REPORTED DETECTED DURING FUNCTIONAL TESTING OF THE VENTILATOR SET UP PRIOR TO A PATIENT USE. NO PATIENT INJURY OR COMPLICATION WAS REPORTED.