BEUDAMED
    FDA Adverse Event Other Summary report: N

    PALL ULTIPOR BREATHING CIRCUIT FILTER WITH FLEX TUBE

    MDR report key: 189214 · Received September 28, 1998

    Report

    Report Number
    2432733-1998-00026
    Event Type
    Other
    Date Received
    September 28, 1998
    Date of Event
    August 23, 1998
    Report Date
    August 27, 1998
    Manufacturer
    PALL BIOMEDICAL PRODUCTS CO.
    Product Code
    CAH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A PT BEING VENTILATED WENT INTO RESPIRATORY ARREST (VENTILATOR ALARM SOUNDED).THE DEVICE WAS REPLACED AND AGAIN BLOCKED, THE PT WENT INTO RESPIRATORY ARREST (VENTILATOR ALARM SOUNDED), AND THEN RECOVERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PALL ULTIPOR BREATHING CIRCUIT FILTER WITH FLEX TUBE BREATHING CIRCUIT FILTER CAH PALL BIOMEDICAL PRODUCTS CO. BB100F UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention