FDA Adverse Event Injury Summary report: N

CARESCAPE R860

MDR report key: 18978660 · Received March 26, 2024

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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