FDA Adverse Event
Death
Summary report: N
AIRWAY PRESSURE MONITOR WITH ALARM
MDR report key: 23464
·
Received December 9, 1994
Report
- Report Number
- 36222-1994-09001
- Event Type
- Death
- Date Received
- December 9, 1994
- Date of Event
- October 17, 1994
- Report Date
- October 26, 1994
- Manufacturer
- RESPIRONICS
- Product Code
- CAP
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- MN, US
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
MOTHER RETURNED MY CALL (I HAD BEEN UNABLE TO REACH FAMILY FOR MANY DAYS) ON 10/18/94 AND TOLD ME THAT THE PT HAD DIED LAST NIGHT (10/17/94) IN THE HOSPITAL. SHE SAID SHE COULDN'T TELL ME WHAT HAD HAPPEN BUT THAT IT STARTED AT HOME AND WHEN THEY GOT TO THE HOSPITAL THE T WAS CLINICALLY BRAIN DEAD. SHE SAID THEERE WAS GOING TO BE AN INVESTIGATION & WANTED OUR EQUIPMENT LEFT AT HOME. SHE ALSO SAID IT WAS NOT OUR FAULT OR THE EQUIPMENT'S FAULT & NOT TO WORRY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | AIRWAY PRESSURE MONITOR WITH ALARM | AIRWAY PRESSURE MONITOR | CAP | RESPIRONICS | 302220 OEM MONAHAN | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 8 MO | Death |