BEUDAMED
    FDA Adverse Event Other Summary report: N

    NARKOMED

    MDR report key: 419876 · Received September 30, 2002

    Report

    Report Number
    2517967-2002-00079
    Event Type
    Other
    Date Received
    September 30, 2002
    Date of Event
    September 13, 2002
    Report Date
    September 30, 2002
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    BSZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: A RESIDENT TOOK A DESFLURANE VAPORIZER FROM THE WORKROOM AND INSTALLED IT ON THE ANESTHESIA MACHINE. A CASE WAS STARTED IN THE ROOM SHORTLY AFTER, AND THE PATIENT APPEARED LIGHT. THERE WAS NO AGENT READING ON THE ANALYZER. THE DOCTOR CONTINUED THE CASE THINKING THE ANALYZER WAS MALFUNCTIONING. THE DOCTOR WAS USING THE DESFLURANE VAPORIZER THAT WAS CHANGED EARLIER. HE WAS RELIEVED BY ANOTHER ANESTHESIOGLIST WHO SUSPECTED SOMETHING WAS WRONG AND PROVIDED OTHER IV MEDICATION. THE CASE WAS COMPLETED USING THE DEVICE. IT WAS REPORTED THAT THE PATIENT HAD RECALL OF THE PROCEDURE. HOWEVER, NO OTHER PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NARKOMED ANESTHESIA MACHINE BSZ DRAEGER MEDICAL, INC. 6000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other DATEX/OHMEDA D-TEC PLUS DESFLURANCE VAPORIZER.