BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MERRIMAN-GROVES MEDICAL PRODUCTS

    MDR report key: 301773 · Received October 11, 2000

    Report

    Report Number
    301773
    Event Type
    Malfunction
    Date Received
    October 11, 2000
    Date of Event
    September 21, 2000
    Report Date
    October 6, 2000
    Manufacturer
    MERRIMAN-GRAVES MEDICAL
    Product Code
    KGA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LAPAROSCOPIC CHOLECYSTECTOMY PERFORMED USING CO2 FOR INFLATION OF ABDOMEN. FOG DEVELOPED IN ABDOMEN (FIRST CASE). FURTHER TESTING ON TANK BY CO RESULTS; O2 CYLINDER CHECK, O2 CONCENTRATION - 0%, CO - NON DETECTED, - 43 DEGREE - DEW POINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MERRIMAN-GROVES MEDICAL PRODUCTS CO2 CYLINDER KGA MERRIMAN-GRAVES MEDICAL E CYLINDER C

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other