FDA Adverse Event
Death
Summary report: N
BRAT
MDR report key: 315704
·
Received February 8, 2001
Report
- Report Number
- MW1021040
- Event Type
- Death
- Date Received
- February 8, 2001
- Date of Event
- January 29, 2001
- Report Date
- February 8, 2001
- Manufacturer
- COBE CARDIOVASCULAR INC. DIV SORIN BIOMEDICAL INC
- Product Code
- CAC
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE PT HAD UNDERGONE A TOTAL KNEE REPLACEMENT PROCEDURE IN THE SURGERY DEPT. DURING THE SURGICAL PROCEDURE, BLOOD RECOVERY TUBING FOR THE CELL-SAVER WAS PLACED AT THE SURGICAL SITE. FOLLOWING A STAY IN THE PACU (RECOVERY), THE PT WAS TRANSFERRED TO AN ORTHOPEDIC WING OF THE HOSP. WHILE BEING SITUATED IN A ROOM ON THE ORTHOPEDIC WING, THE SUCTION TUBING FOR THE CELL-SAVER WAS CONNECTED TO THE WALL-MOUNTED OXYGEN OUTLET. PT ARRESTED SHORTLY THEREAFTER AND WAS UNABLE TO BE REVIVED. AFTER DISCUSSION WITH ALL PARTIES INVOLVED AND WITH THE ADMINISTRATIVE PERSONNEL OF THIS INSTITUTION, AND FOLLOWING REVIEW BY BIOMEDICAL STAFF, IT IS DETERMINED THAT THE CELL-SAVER WAS NOT THE CAUSE OF THE DEATH OF THIS PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 4621 | BRAT | BLOOD COLLECTION RESERVOIR | CAC | COBE CARDIOVASCULAR INC. DIV SORIN BIOMEDICAL INC | 30 UM FILTER | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | Death |