MEDICAL GAS SUPPLY OUTLET

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-11-14 for MEDICAL GAS SUPPLY OUTLET manufactured by Allied Health Products, Inc..

Event Text Entries

[19177402] Nitric oxide hose was plugged into carbon dioxide outlet. Pt was ventilated with co2 instead of nitric oxide. Anesthesiologist noted that pt's co2 level was 103. At that time, the md noticed the mis-connection.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5009016
MDR Report Key1234564
Date Received2008-11-14
Date of Report2008-11-14
Date of Event2008-10-09
Date Added to Maude2009-01-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameMEDICAL GAS SUPPLY OUTLET
Product CodeECX
Date Received2008-11-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerALLIED HEALTH PRODUCTS, INC.
Manufacturer AddressCHEMOTRON BEACON MEDAES


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2008-11-14

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