FDA Adverse Event
Death
Summary report: N
BIPAP S/T VENTILATORY SUPPORT SYSTEM
MDR report key: 307936
·
Received December 11, 2000
Report
- Report Number
- 2518422-2000-00054
- Event Type
- Death
- Date Received
- December 11, 2000
- Date of Event
- November 10, 2000
- Report Date
- December 8, 2000
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TW
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
UNIT WAS BEING USED IN THE HOSP ICU. OXYGEN WAS BEING BLED INTO THE PT CIRCUIT THROUGH A TEE-CONNECTOR AT THE OUTLET OF THE BIPAP. THE HOSP REPORTED THAT THE STAFF SAW SMOKE COME FROM THE UNIT.
Description of Event or Problem · 1
UNIT WAS BEING USED IN THE HOSP ICU. OXYGEN WAS BEING BLED INTO THE PT CIRCUIT THROUGH A TEE-CONNECTOR AT THE OUTLET OF THE BIPAP. THE HOSP REPORTED THAT THE STAFF SAW SMOKE COME FROM THE UNIT.
Description of Event or Problem · 1
HOSPITAL REPORTED THAT A DEVICE CAUGHT FIRE WHILE BEING DEMONSTRATED AND ONE PT HAS EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BIPAP S/T VENTILATORY SUPPORT SYSTEM | NON CONTINUOUS VENTILATOR | BZD | RESPIRONICS, INC. | 552045 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Death |