FDA Adverse Event
Malfunction
Summary report: N
MONOLYTH INTEGRATED MEMBRANE LUNG
MDR report key: 218573
·
Received April 13, 1999
Report
- Report Number
- 2022323-1999-00007
- Event Type
- Malfunction
- Date Received
- April 13, 1999
- Date of Event
- March 18, 1999
- Report Date
- April 13, 1999
- Manufacturer
- SORIN BIOMEDICAL, INC.
- Product Code
- DTZ
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A PROCEDURE USING A MONOLYTH OXYGENATOR THE P02 READING DROPPED. THE UNIT WAS CHANGED OUT WITH ANOTHER MONOLYTH OXYGENATOR WITHOUT INCIDENT AND THE PROCEDURE CONTINUED. NO PT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MONOLYTH INTEGRATED MEMBRANE LUNG | MEMBRANE OXYGENATOR | DTZ | SORIN BIOMEDICAL, INC. | M302 | 983329 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Required Intervention |