FDA Adverse Event Summary report: N

SARNS

MDR report key: 26838 · Received August 5, 1995

Report

Report Number
26838
Date Received
August 5, 1995
Manufacturer
SARNS 3M HEALTH CARE
Product Code
DTZ
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

FIFTEEN MINUTES AFTER INITIATING CARDIOPULMONARY BYPASS, A BLOOD GAS REVEALED AN ELEVATED PACO2 WHICH WAS CONFIRMED BY A SECOND BLOOD GAS. SUBSEQUENTLY, THE MEMBRANE OXYGENATOR WAS REPLACED, AND THE CASE PROCEEDED WITHOUT FURTHER INCIDENT.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SARNS MEMBRANE OXYGENATOR DTZ SARNS 3M HEALTH CARE TURBO 9443

Patients

Seq Age Sex Outcome Treatment
1 UNK Invalid Data