FLEXITRUNK INFANT NASAL TUBING BC191

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-14 for FLEXITRUNK INFANT NASAL TUBING BC191 manufactured by Fisher & Paykel Healthcare Limited.

Event Text Entries

[175652556] (b)(4). The complaint bc191 flexitrunk infant nasal tubing is en route to fisher & paykel healthcare (f&p) in (b)(4) for evaluation. We will provide a follow up report upon completion of our investigation.
Patient Sequence No: 1, Text Type: N, H10


[175652557] A healthcare facility in (b)(6) reported via a fisher & paykel healthcare (f&p) field representative that a bc191 flexitrunk infant nasal tubing was torn before use. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9611451-2019-00796
MDR Report Key8895286
Date Received2019-08-14
Date of Report2019-07-19
Date Mfgr Received2019-09-20
Device Manufacturer Date2019-01-29
Date Added to Maude2019-08-14
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 ContactMS. FARANAK GOMAROONI
Manufacturer Street173 TECHNOLOGY DR., SUITE 100 IRVINE
Manufacturer CityCA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone9494534000
Manufacturer G1FISHER & PAYKEL HEALTHCARE LIMITED
Manufacturer Street15 MAURICE PAYKEL PLACE EAST TAMAKI
Manufacturer CityAUCKLAND, 2013
Manufacturer CountryNZ
Manufacturer Postal Code2013
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLEXITRUNK INFANT NASAL TUBING
Generic NameBZO
Product CodeBZO
Date Received2019-08-14
Returned To Mfg2019-08-29
Model NumberBC191
Catalog NumberBC191
Lot Number2100688116
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerFISHER & PAYKEL HEALTHCARE LIMITED
Manufacturer Address15 MAURICE PAYKEL PLACE EAST TAMAKI AUCKLAND, 2013 NZ 2013


Patients

Patient NumberTreatmentOutcomeDate
10 2019-08-14

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