FDA Adverse Event Death Summary report: N

CADENCE

MDR report key: 2587954 · Received May 24, 2012

Report

Report Number
2031642-2012-00227
Event Type
Death
Date Received
May 24, 2012
Date of Event
November 2, 2009
Report Date
April 25, 2012
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
BZR
PMA / PMN Number
K050381
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

NO DEVICE MALFUNCTION. NO DEVICE MALFUNCTION.

Description of Event or Problem · 1

AN ATTORNEY REPRESENTING (B)(6), CONTACTED A COMPANY ASSOCIATE REGARDING A LEGAL COMPLAINT. THE LEGAL COMPLAINT ALLEGES A MALE PATIENT DIED (B)(6) 2009, DURING HOSPITALIZATION AT THE FACILITY DUE TO NEGLIGENCE. THE ATTORNEY REPORTED THAT THE HOSPITAL DID NOT CONTACT ANYONE TO REPORT THE PATIENT DEATH EVENT AT THE TIME IT OCCURRED AND THAT THE HOSPITAL DID NOT FILE A MEDICAL DEVICE REPORT WITH THE FDA. THE COMPLAINT ALLEGES THAT THE HOSPITAL STAFF PROVIDED IMPROPER CARE AND SHOULD HAVE PUT THE PATIENT ON CONVENTIONAL VENTILATION AND THERE IS NO ALLEGATION IN THE COMPLAINT THAT THIS DEVICE MALFUNCTIONED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CADENCE TRANSTRACHEAL CONTINUOUS FLOW GAS DELIVERY SYSTEM BZR RESPIRONICS CALIFORNIA, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 Death