BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 689386 · Received March 4, 2006

    Report

    Report Number
    689386
    Event Type
    Death
    Date Received
    March 4, 2006
    Date of Event
    February 24, 2006
    Report Date
    February 24, 2006
    Manufacturer
    MEDICOMP
    Product Code
    CAH
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    PT WAS ON A PLV 100 VENTILATOR. CIRCUIT BECAME DISCONNECTED @ 50CC FLEX TUBE AND HME - 24CM H2O PRESSURE HELD IN VENT CIRCUIT = LOW PRESSURE ALARM NOT ACTIVATED. PT WAS OFF APPROX. 30 MINUTES=CPM STERI CATH STILL CONNECTED TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * HEAT- MOISTURE EXCHANGE HME BACTERIAL FILTRATION CAH MEDICOMP MC 750 4343

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death