BEUDAMED
    FDA Adverse Event Death Summary report: N

    MARQUEST

    MDR report key: 14018 · Received March 21, 1994

    Report

    Report Number
    1527500-1994-00001
    Event Type
    Death
    Date Received
    March 21, 1994
    Date of Event
    February 21, 1994
    Report Date
    February 28, 1994
    Manufacturer
    MAARQUEST MEDICAL PRODUCTS
    Product Code
    CAI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    OH, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    HOSPITAL CALLED OUR COMPANY 2/21/94 TO TELL US A MARQUEST DISPOSABLE VENTILATOR CIRCUIT HAAD A CAP COME OFF WHILE BEING USED ON A PT CURRENTLY ON A PURITAN BENNETT 7200 VENTILATOR; PT EXPIRED. PT WAS ON A NURSING STEP-DOWN UNIT DIRECTLY ACROSS FROM NURSING STATION; ALARMS WENT OFF NURSING WENT IN TO BAG PT. PT ON TOTAL VOLUME OF 750 AND RESPIRAAATORY RATE OF 10.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MARQUEST DISPOSABLE VENTILATOR CIRCUIT CAI MAARQUEST MEDICAL PRODUCTS 1574712 72910

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Death