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