FDA Adverse Event Death Summary report: N

ABL80 FLEX CO-OX ANALYZER

MDR report key: 1908074 · Received November 10, 2010

Report

Report Number
2027541-2010-00004
Event Type
Death
Date Received
November 10, 2010
Date of Event
October 15, 2010
Report Date
October 20, 2010
Manufacturer
SENDX MEDICAL, INC.
Product Code
CHL
PMA / PMN Number
K080370
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION OF THIS EVENT IS CURRENTLY UNDERWAY. IT IS UNCLEAR IF THE POTASSIUM RESULT IS RELATED TO THE PATIENT'S DEATH. ALL CALIBRATION AND QUALITY CONTROL RESULTS WERE WELL WITHIN ACCEPTABLE RANGES AROUND THE TIME OF THE INCIDENT. WHEN THE SERVICE ENGINEER INSPECTED THE INSTRUMENT, EVERYTHING APPEARED NORMAL.

Description of Event or Problem · 1

A BURNS PATIENT IN THE OPERATING ROOM DIED AFTER DOCTORS ACTED ON A POTASSIUM LEVEL OF 15.8 MMOL/L. THE PATIENT WAS ON SILVER NITRATE, INSTILLED UNDER PRESSURE BY THE BLADDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ABL80 FLEX CO-OX ANALYZER PH, BLOODGAS, ELECTROLYTE ANALYSIS SYSTEM CHL SENDX MEDICAL, INC. 393-841

Patients

Seq Age Sex Outcome Treatment
1 82 YR Death