FDA Adverse Event Death Summary report: N

AVANCE

MDR report key: 14465391 · Received May 21, 2022

Report

Report Number
2112667-2022-01264
Event Type
Death
Date Received
May 21, 2022
Date of Event
April 1, 2021
Report Date
May 18, 2023
Manufacturer
DATEX-OHMEDA, INC.
Product Code
BSZ
PMA / PMN Number
K172045
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. AGE OR DATE OF BIRTH, WEIGHT, ETHNICITY, AND RACE: INFORMATION NOT PROVIDED. REPORT SOURCE OTHER: ATTORNEYS (B)(6). ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION FROM THE CUSTOMER WERE MADE ON 26-APR-2022, 28-APR-2022, AND 04-MAY-2022. NO FURTHER INFORMATION PROVIDED TO DATE. LEGAL MANUFACTURER: (B)(4).

Additional Manufacturer Narrative · 0

THE ROOT CAUSE OF THE ALLEGED ISSUE DURING USE OF THE AVANCE ANESTHESIA MACHINE IS UNDETERMINED. ASIDE FROM INFORMATION PROVIDED BY THE FACILITY THAT THE BAG/VENT SWITCH WAS PURCHASED FOR REPLACEMENT AFTER THE EVENT, THE DEVICE HAS NOT BEEN INSPECTED AND THERE WAS NO INFORMATION PROVIDED AFTER MULTIPLE ATTEMPTS FROM GE HEALTHCARE TO OBTAIN ANY DETAIL OF HOW VENTILATION WAS UNAVAILABLE. H3 OTHER TEXT : THE ROOT CAUSE OF THE ALLEGED ISSUE DURING USE OF THE AVANCE ANESTHESIA MACHINE IS UNDETERMINED. ASIDE FROM INFORMATION PROVIDED BY THE FACILITY THAT THE BAG/VENT SWITCH WAS PURCHASED FOR REPLACEMENT AFTER THE EVENT, THE DEVICE HAS NOT BEEN INSPECTED AND THERE WAS NO INFORMATION PROVIDED AFTER MULTIPLE ATTEMPTS FROM GE HEALTHCARE TO OBTAIN ANY DETAIL OF HOW VENTILATION WAS UNAVAILABLE.

Description of Event or Problem · 0

THE HOSPITAL REPORTED A PATIENT DEATH AFTER USE OF THE AVANCE. IT WAS REPORTED THE UNIT ALLEGEDLY FAILED? DURING SURGERY. GE HEALTHCARE WILL SUBMIT A FOLLOW-UP REPORT WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1200669 AVANCE ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA, INC.

Patients

Seq Age Sex Outcome Treatment
1 Male Death