FDA Adverse Event
Malfunction
Summary report: N
VENTILATOR, NON-CONTINUOUS (RESPIRATOR)
MDR report key: 9888534
·
Received March 27, 2020
Report
- Report Number
- 9888534
- Event Type
- Malfunction
- Date Received
- March 27, 2020
- Date of Event
- August 8, 2019
- Report Date
- March 13, 2020
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
STAFF CALLED TO PATIENT'S ROOM FOR ACT. PATIENT IN RESPIRATORY DISTRESS, GASPING, INCREASED O2 CONSUMPTION FROM 3 TO 9 LITERS PER MINUTE. ATTEMPTED TO PLACE ON NIV, HOWEVER WAS UNABLE TO REMOVE CLEAR VENTED ELBOW TO REPLACE THE BLUE UNVENTED ELBOW CAUSING APPROXIMATELY A TEN MINUTE DELAY IN PLACEMENT OF PATIENT ON NIV. PATIENT IMPROVED AFTER APPROXIMATELY TEN MINUTES ON NIV RR 23 UNLABORED, ON NIV, ALERT -- RESPONDING TO NAME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 351035 | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | 190212 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 21535 DA |