AIRZONE PEAK FLOW METER 3130045

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-09-24 for AIRZONE PEAK FLOW METER 3130045 manufactured by Clement Clarke International.

Event Text Entries

[724254] Cci makes the airzone peak flow meter with the ats scale for united states sale. Cci manufactured a batch of airzone peak flow meters with the liter flow scale misapplied upside down so that the air flow from the lungs would be reversed. The scale in correct position shows the force of the air exhaled from the lungs. Larger flows show good function and patient is controling asthma. With the scale upside down, the pt would get a low number which would not correlate to feeling good. The instructions from the physician would be for the pt to contact the dr if the rate falls. This is also stated in product instructions. Distributor rec'd notice of this defect on aug 6, from our distributor. Distributor notified clement clarke of the issue immediately. We then recalled all product form the distributor, searched the lot number and manually inspected remaining inventory at distributor. All mislabeled products have been quarantined by distributor and are being returned to clement clarke. The total units mislabeled in the usa. Distributor has completed a review of the issue and will increase number of units inspected. Clement clarke has initiated a capa to review there inventory of the product, lot number in question and all other lots. A total units were found, quarantined and product repackaged for purchase. Cci then initiated a capa, retrained assemblers and operators, a new master sample, first article sample is made and inspected to meet specifications on each shift. This sample is used as in-process production models to compare to during production of the build set. All products have been consumed and due to the time in the market, there are no indications that any intervention of any kind was required. There are no remaining mislabeled units in the market to the best of our knowledge.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5003856
MDR Report Key918889
Date Received2007-09-24
Date of Report2007-09-04
Date Added to Maude2009-04-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameAIRZONE PEAK FLOW METER
Generic NamePEAK FLOW METER
Product CodeBZH
Date Received2007-09-24
Returned To Mfg2007-09-04
Model Number3130045
Catalog Number3130045
Lot Number2705 LOT 0018855
ID NumberNHRIC 384621300450
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerCLEMENT CLARKE INTERNATIONAL
Manufacturer AddressEDINBURG WAY HARLOW, ESSEX CM202TT UK CM20 2TT


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2007-09-24

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