FDA Adverse Event
Death
Summary report: N
NONIN MODEL 7500
MDR report key: 3352879
·
Received September 16, 2013
Report
- Report Number
- 2183646-2013-00003
- Event Type
- Death
- Date Received
- September 16, 2013
- Date of Event
- August 28, 2012
- Report Date
- September 13, 2013
- Manufacturer
- NONIN MEDICAL, INC.
- Product Code
- DQA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT IS ALLEGED THAT THE PULSE OXIMETER MODEL 7500 AND THE CAREFUSION VENTILATOR DID NOT ALARM WHEN THE TRACHEOSTOMY TUBE MOVED FAILING TO PROPERLY VENTILATE THE PT, AND THE CAREGIVER WAS NOT AWARE TO RESOLVE THE SITUATION WHICH LED TO THE PT DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 464386 | NONIN MODEL 7500 | PULSE OXIMETER | DQA | NONIN MEDICAL, INC. | 7500 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 3 YR | Death| R | THE PT HAD A TRACHEOSTOMY TUBE,| AND WAS ON A CAREFUSION LTV1200 VENTILATOR |