FDA Adverse Event
Injury
Summary report: N
LTV
MDR report key: 2974132
·
Received February 13, 2013
Report
- Report Number
- 2031702-2013-00021
- Event Type
- Injury
- Date Received
- February 13, 2013
- Manufacturer
- CAREFUSION 203, INC.
- Product Code
- CBK
- PMA / PMN Number
- K060647
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- NO INFORMATION
Narratives
Additional Manufacturer Narrative · 1
NA
Description of Event or Problem · 1
IT WAS REPORTED THAT THE VENTILATOR WAS USING TOO MUCH OXYGEN WITH AN INTUBATED PATIENT USING ASSIST CONTROL. UNABLE TO GET THE VENTILATOR INTO A HI-PRESSURE O2 SETTING AND THE VENTILATOR STARTED AUTOCYCLING. THE TRANSPORT TEAM NEEDED TO MAKE AN UNSCHEDULED LANDING TO PICK UP MORE OXYGEN TO MAKE THE TRANSPORT. NO PT HARM REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 64241 | LTV | VENTILATOR, CONTINUOUS/CBK | CBK | CAREFUSION 203, INC. | LTV 1200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | Required Intervention |