BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 333586 · Received May 17, 2001

    Report

    Report Number
    333586
    Event Type
    Death
    Date Received
    May 17, 2001
    Date of Event
    May 2, 2001
    Report Date
    May 16, 2001
    Manufacturer
    PRECISION MEDICAL INC
    Product Code
    CAW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS ON BIPAP MACHINE. ORDER RECEIVED TO TRY PT ON VENTI-MASK. PT PLACED ON VENTI-MASK AND SAT'S DROPPED INTO THE 50'S. PT PLACED BACK ON BIPAP MACHINE. SAT'S IN 50'S AND NOT COMING UP. SWITCHED OXYGEN LINE TO ANOTHER FLOWMETER. THE FLOWMETER THAT THE LINE WAS ORIGINALLY HOOKED UP TO WAS ON 15L OF OXYGEN BUT NO OXYGEN FLOWING. PT WAS TO BE ON 2L. SAT'S WENT BACK TO 70'S AFTER 3 MINUTES. THREE HOURS LATER, PT ARRESTED AND EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23380 * OXYGEN FLOWMETER CAW PRECISION MEDICAL INC 2MFA1001 *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death