FDA Adverse Event
Death
Summary report: N
FLOCARE
MDR report key: 177916
·
Received July 16, 1998
Report
- Report Number
- 177916
- Event Type
- Death
- Date Received
- July 16, 1998
- Date of Event
- June 5, 1998
- Report Date
- July 15, 1998
- Manufacturer
- FLOCARE MEDICAL
- Product Code
- BYD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PT INTUBATED ON 6/3/1998 AND ON A VENTILATOR. PT EXPIRED ON 6/5/1998 SECONDARY TO MUCUS PLUG. DISPOSABLE HEAT & MOISTURE EXCHANGER IN USE FROM 6/3/1998 TO 6/5/1998 TO HUMIDIFY. THE EXCHANGER WAS CHANGED EVERY 24 HOURS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FLOCARE | DISPOSABLE HEAT & MOISTURE EXCHANGER | BYD | FLOCARE MEDICAL | 2023 LF | 8868 59 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29 YR | Death |