BEUDAMED
    FDA Adverse Event Death Summary report: N

    VENTILATION CIRCUIT

    MDR report key: 234276 · Received August 4, 1999

    Report

    Report Number
    1423507-1999-00222
    Event Type
    Death
    Date Received
    August 4, 1999
    Date of Event
    June 1, 1997
    Report Date
    August 4, 1999
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    BZO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PLAINTIFFS ALLEGE THAT THE AIRLIFE ISOTHERMAL BREATHING CIRCUIT, WHICH WAS USED IN PROVIDING RESPIRTORY SERVICES TO THEIR SON IN JUNE 1997, WAS DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENTILATION CIRCUIT CIRCUIT BZO ALLEGIANCE HEALTHCARE CORP. UNKCIR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death