BEUDAMED
    FDA Adverse Event Death Summary report: N

    EVITA

    MDR report key: 361006 · Received November 15, 2001

    Report

    Report Number
    2517967-2001-00082
    Event Type
    Death
    Date Received
    November 15, 2001
    Date of Event
    November 2, 2001
    Report Date
    November 15, 2001
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    CBK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: AFTER A SURGICAL PROCEDURE, THE PATIENT WAS PLACED ON THE VENTILATOR, BUT THE PATIENT WAS NOT VENTILATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    51764 EVITA CONTINUOUS VENTILATOR CBK DRAEGER MEDICAL, INC. 2 DURA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Death