BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 845881 · Received March 12, 2007

    Report

    Report Number
    845881
    Event Type
    Malfunction
    Date Received
    March 12, 2007
    Date of Event
    March 11, 2007
    Report Date
    March 12, 2007
    Manufacturer
    OHMEDA MEDICAL, PART OF GE MEDICAL SYSTEMS
    Product Code
    JCX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    PATIENT HAD BEEN INTERMITTENTLY THROWING UP GREEN BILIOUS FLUID DURING THE NIGHT. DURING ASSESSMENT AT 0900, NURSE FOUND THAT SUCTION HEAD WAS NOT FUNCTIONING(X2). THE NASAL GASTRIC TUBE WAS HOOKED UP TO FUNCTIONING SUCTION HEAD. ONE LITER OF FLUID DRAINED WITHIN THIRTY MINUTES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * SUCTION REGULATOR JCX OHMEDA MEDICAL, PART OF GE MEDICAL SYSTEMS * *
    2 * SUCTION REGULATOR JCX OHMEDA MEDICAL, A PART OF GE MEDICAL SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR