BEUDAMED
    FDA Adverse Event Death Summary report: N

    CIRCUIT VENT VOL F/PORT

    MDR report key: 677584 · Received February 17, 2006

    Report

    Report Number
    1423507-2006-00015
    Event Type
    Death
    Date Received
    February 17, 2006
    Report Date
    February 17, 2006
    Manufacturer
    CARDINAL HEALTH
    Product Code
    BZO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LONG TERM VENTILATOR PT WITH A DO NOT REUSCITATE ORDER WAS BEING VENTILATED WHEN THE EXHALATION LINE REPORTEDLY DISCONNECTED FROM THE EXHALATION VALVE OF THE CIRCUIT. THE VENTILATOR DID NOT ALARM, THERAPIST REPORTS STILL BE VENTILATED JUST NOT COMPLETE BREATH DELIVERED. THE PT DID PASS AWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CIRCUIT VENT VOL F/PORT CIRCUIT VENT VOL F/PORT BZO CARDINAL HEALTH 001795 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death