FDA Adverse Event Death Summary report: N

DELTA XL

MDR report key: 2247929 · Received September 8, 2011

Report

Report Number
1220063-2011-00046
Event Type
Death
Date Received
September 8, 2011
Date of Event
August 4, 2011
Report Date
August 17, 2011
Manufacturer
DRAEGER MEDICAL SYSTEMS, INC. (IT/M)
Product Code
MHX
PMA / PMN Number
UNK
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ND, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DRAEGER IS STILL INVESTIGATING THE REPORTED INCIDENT. A F/U REPORT WILL BE SUBMITTED AS SOON AS THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING OPEN HEART SURGERY, THIS DELTA X MONITOR WAS DISPLAYING CARDIAC OUTPUT AND SVR VALUES OF ABOUT 6 AND 600 RESPECTIVELY. THE USER REPORTED THAT MEDICATION WAS DELIVERED TO THE PT BASED ON THE VALUES DISPLAYED. THE PT WAS TRANSFERRED TO THE ICU FROM THE OPERATING ROOM AND WAS CONNECTED TO A DATEX OHMEDA MONITOR THAT DISPLAYED CARDIAC OUTPUT AND SVR VALUES OF 1.9 AND 2500 RESPECTIVELY. THE USER REPORTED THAT THE PT EXPIRED A FEW DAYS AFTER THE SURGERY. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DELTA XL PATIENT MONITOR MHX DRAEGER MEDICAL SYSTEMS, INC. (IT/M) MS13476 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Death NO