FDA Adverse Event Other Summary report: N

DATEX-OHMEDA COMPACT ABSORBER

MDR report key: 594065 · Received June 9, 2004

Report

Report Number
9610105-2004-00008
Event Type
Other
Date Received
June 9, 2004
Date of Event
April 7, 2004
Report Date
May 12, 2004
Manufacturer
INSTRUMENTARIUM CORP./DATEX-OHMEDA DIVISION
Product Code
BSF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE OR STAFF RECENTLY EXPERIENCED A CASE IN WHICH THE COVER RIPPED, LEAVING PART OF THE COVER OF THE ABSORBER. DESPITE THE PRESENCE OF THE REMAINING BRIGHT ORANGE COVER, THE ABSORBER WAS ABLE TO CONNECT TO THE ANESTHESIA MACHINE AND PASSED THE SUBSEQUENT LEAK TEST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DATEX-OHMEDA COMPACT ABSORBER DATEX-OHMEDA ABSORBER, SINGLE USE BSF INSTRUMENTARIUM CORP./DATEX-OHMEDA DIVISION 427002100 488014

Patients

Seq Age Sex Outcome Treatment
1 76 YR Other