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