FDA Adverse Event
Death
Summary report: N
JULIAN
MDR report key: 3624460
·
Received January 24, 2014
Report
- Report Number
- 9611500-2014-00008
- Event Type
- Death
- Date Received
- January 24, 2014
- Date of Event
- December 21, 2013
- Report Date
- January 23, 2014
- Manufacturer
- DRAEGER MEDICAL GMBH
- Product Code
- BSZ
- PMA / PMN Number
- K983635
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
DEVICE WAS INCONSPICUOUS IN A COMPLETE TEST PROVIDED AT THE USER FACILITY IN F/U OF THE EVENT. THE IN-DEPTH INVESTIGATION HAS JUST STARTED; RESULTS WILL BE PROVIDED IN A F/U REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE USER TRIED TO RECONNECT A NEUROLOGIC TRAUMA PT TO THE JULIAN AFTER A CLINIC-INTERNAL TRANSPORT ASSISTED BY A TRANSPORT VENTILATOR. IT WAS NOT POSSIBLE TO BUILD-UP SUFFICIENT PRESSURE/VOLUME FOR RESUSCITATION OF THE PT. THE PT DIED IN THE COURSE OF EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 57249 | JULIAN | ANESTHESIA WORKSTATION | BSZ | DRAEGER MEDICAL GMBH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |