BIRD LOW FLOW AIR OXYGEN BLENDER FOBI1000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional report with the FDA on 2019-11-12 for BIRD LOW FLOW AIR OXYGEN BLENDER FOBI1000 manufactured by Bird Products Corp..

MAUDE Entry Details

Report Number3007409280-2019-00092
MDR Report Key9311220
Report SourceCONSUMER,HEALTH PROFESSIONAL
Date Received2019-11-12
Date of Report2019-11-11
Date of Event2019-10-08
Date Mfgr Received2019-11-11
Date Added to Maude2019-11-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJENNA VARGAS
Manufacturer Street212 AVENIDA FABRICANTE
Manufacturer CitySAN CLEMENTE CA 92672
Manufacturer CountryUS
Manufacturer Postal92672
Manufacturer G1AVANTE HEALTH SOLUTIONS
Manufacturer Street212 AVENIDA FABRICANTE
Manufacturer CitySAN CLEMENTE CA 92672
Manufacturer CountryUS
Manufacturer Postal Code92672
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBIRD LOW FLOW AIR OXYGEN BLENDER
Generic NameBMD AIR/OXYGEN BLENDER
Product CodeBZR
Date Received2019-11-12
Model NumberFOBI1000
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIRD PRODUCTS CORP.
Manufacturer Address1100 BIRD CENTER DR. PALM SPRINGS CA 92262 US 92262


Patients

Patient NumberTreatmentOutcomeDate
10 2019-11-12

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