FDA Adverse Event Death Summary report: N

RESUSCITAIRE

MDR report key: 755449 · Received August 28, 2006

Report

Report Number
2510954-2006-00004
Event Type
Death
Date Received
August 28, 2006
Date of Event
July 18, 2006
Report Date
August 25, 2006
Manufacturer
DRAEGER MEDICAL INFANT CARE INC.
Product Code
FMT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE RESUSCITARE RADIANT WARMER IN QUESTION WAS MANUFACTURED AND SHIPPED IN 03/1995, AND THE MAINTENANCE ACTIVITIES ARE THE RESPONSIBILTIY OF THE HOSP. WE HAVE MADE SEVERAL ATTEMPTS TO INSPECT THE DEVICE, BUT THE USER FACILITY HAS NOT COOPERATED AND HAS YET TO LET US CHECK THE DEVICE. BASED ON THE DESCRIPTION OF THE EVENT, THERE IS NO INDICATION THAT THE DEVICE FAILED NOR HAS THE USER FACILITY INDICATED THE DEVICE HAS FAILED. WE WILL SUBMIT A FOLLOW-UP REPORT IF NEW INFO BECOMES AVAILABLE.

Description of Event or Problem · 1

A BABY WAS BEING RESUSCITATED WITH POSITIVE PRESSURE OXYGEN AND HAD BEEN ACTIVELY RESUSCITATED FOR APPROXIMATELY 20 MINUTES, WHEN THE PRESSURE DROPPED, DESPITE BEING PLUGGED INTO THE WALL OUTLET. RESUSCITATION WAS CONTINUED, USING A BAG AND MASK INTO WALL OXYGEN. THE BABY DIED SOMETIME AFTER BAGGING WAS PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RESUSCITAIRE RADIANT WARMER FMT DRAEGER MEDICAL INFANT CARE INC. RW81 *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death