BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NON CONDUCTIVE ANESTHESIA CIRCUIT

    MDR report key: 29345 · Received December 20, 1995

    Report

    Report Number
    29345
    Event Type
    Injury
    Date Received
    December 20, 1995
    Date of Event
    December 18, 1995
    Report Date
    December 20, 1995
    Manufacturer
    KING SYSTEMS CORP.
    Product Code
    CAI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CRACK IN NONCONDUCTIVE ANESTHESIA CIRCUIT DISCOVERED AFTER PT'S OXYGEN SATURATION DROPPED DURING OPERATIVE PROCEDURE. PT'S CONDITION STABILIZED AFTER CIRCUIT WAS CHANGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON CONDUCTIVE ANESTHESIA CIRCUIT NON CONDUCTIVE ANESTHESIA CIRCUIT CAI KING SYSTEMS CORP. 0157M5

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Life Threatening| R