SODASORB 504 REV 1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-04-21 for SODASORB 504 REV 1 manufactured by Wr Grace & Co..

Event Text Entries

[843907] High vent pressures were noted on anesthesia gas machine. Pt ws checked. Clinical engineering called. Anesthesia gas machine checked after no issue found with patient. Upon investigation of gas machine, the pre-pack sodasorb was noted to not have the appropriate vented perforation on the bottom. Thus, not allowing proper flow creating the increase pressures. Sodasorb canister changed - pt status unchanged. Peak pressures normal. Could have caused barotrauma or other injury. Dates of use: (b)(6) 2008. Diagnosis or reason for use: part of anesthesia machine.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5006339
MDR Report Key1032543
Date Received2008-04-21
Date of Report2008-04-15
Date of Event2008-04-14
Date Added to Maude2008-04-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSODASORB
Generic NameNONE
Product CodeCBL
Date Received2008-04-21
Model Number504 REV 1
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1000888
ManufacturerWR GRACE & CO.
Manufacturer Address6050 WEST 51ST CHICAGO IL 60638 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-04-21

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