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 |