FDA Adverse Event Death Summary report: N

AISYS

MDR report key: 21690231 · Received March 25, 2025

Report

Report Number
2112667-2025-02474
Event Type
Death
Date Received
March 25, 2025
Date of Event
February 6, 2025
Report Date
June 19, 2025
Manufacturer
DATEX-OHMEDA, INC.
Product Code
BSZ
PMA / PMN Number
K172045
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE'S (GEHC) INVESTIGATION HAS BEEN COMPLETED AND THE ROOT CAUSE COULD NOT BE DETERMINED. THE GEHCÂ'S FIELD ENGINEER COMPLETED A REVIEW OF THE SYSTEM LOGS AND DETERMINED THERE WAS NO MALFUNCTION OF THE GEHC DEVICE. THEREFORE, THE ROOT CAUSE OF THE PATIENT DEATH IS UNDETERMINED.

Additional Manufacturer Narrative · 0

GE HEALTHCARE INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. BLOCK A5 AND A6: NO INFORMATION PROVIDED. D4 PRIMARY UDI NUMBER: THERE IS NO UDI AVAILABLE AS THE DEVICE WAS MANUFACTURED PRIOR TO UDI COMPLIANCE REQUIREMENTS. LEGAL MANUFACTURER: HCS MADISON - 3030 OHMEDA DR, USA MADISON, WI 53718.

Description of Event or Problem · 0

THE HOSPITAL REPORTED DIFFICULTY VENTILATING A PATIENT CONNECTED TO AN AISYS. ALLEGEDLY, THE UNIT STOPPED VENTILATING. IT WAS REPORTED THAT THE PATIENT DIED. 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
1319205 AISYS ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA, INC. NA

Patients

Seq Age Sex Outcome Treatment
1 67 YR Female Death