FDA Adverse Event Injury Summary report: N

ADVANCE

MDR report key: 3131090 · Received May 23, 2013

Report

Report Number
2112667-2013-00016
Event Type
Injury
Date Received
May 23, 2013
Date of Event
April 30, 2013
Report Date
April 30, 2013
Manufacturer
DATEX-OHMEDA
Product Code
BSZ
PMA / PMN Number
K032803
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

GE HEALTHCARE'S INVESTIGATION IS ONGOING. A F/U REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT A VENTILATOR DEPENDENT TERMINAL PT WAS HAVING A TRACH PLACED. DURING THE SURGICAL PROCEDURE, THE ADJUSTABLE PRESSURE LIMITING (APL) VALVE WAS REPORTEDLY NOTED TO STICK CLOSED. THE PT EXPERIENCED A COLLAPSED LUNG, AND A CHEST TUBE WAS PLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
230377 ADVANCE ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA

Patients

Seq Age Sex Outcome Treatment
1 83 YR Required Intervention