CARESCAPE R860
Report
- Report Number
- 2112667-2024-01625
- Event Type
- Injury
- Date Received
- March 26, 2024
- Date of Event
- February 1, 2024
- Report Date
- June 13, 2024
- Manufacturer
- DATEX-OHMEDA, INC.
- Product Code
- CBK
- UDI-DI
- 00840682102346
- PMA / PMN Number
- K210384
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
GE HEALTHCARE'S (GEHC) INVESTIGATION HAS BEEN COMPLETED AND THE ROOT CAUSE IS A LEAK IN THE PATIENT BREATHING CIRCUIT CAUSED BY THE PATIENT PULLING AT THE MASK. THERE WAS NO MALFUNCTION OF THE GEHC DEVICE.
GEHS INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. BLOCK A: NO PATIENT INFORMATION HAS BEEN PROVIDED. LEGAL MANUFACTURER: HCS MADISON - 3030 OHMEDA DR, USA MADISON, WI 53718.
THE HOSPITAL REPORTED A PATIENT WAS CONNECTED TO A CARESCAPE R860 VENTILATOR WHEN IT WAS ALLEGED THAT THE DEVICE STOPPED CYCLING AND DELIVERING FLOW TO THE PATIENT WHILE THE PATIENT WAS UNDER NON-INVASIVE (NIV) VENTILATION WITH A MASK. THE DISPLAY THEN STOPPED PRESENTING PATIENT INFORMATION AND SHOWED APNEA ALARMS. REPORTEDLY, THE PATIENT DESATURATED TO 55% FOR 5 MINUTES. THE PATIENT INTUBATED, AND THE UNIT WAS REPLACED DURING THE CASE. THERE WAS NO PATIENT SEQUELAE REPORTED. 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 |
|---|---|---|---|---|---|---|---|
| 13388 | CARESCAPE R860 | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | DATEX-OHMEDA, INC. | 1506-8600-000AP-AV | 00840682102346 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |