CARDIOCAP 5

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2010-06-16 for CARDIOCAP 5 manufactured by Ge Healthcare Finland.

Event Text Entries

[1623278] It was reported that during a case, the anesthetist left the operating room for a period of time. Upon his return, he reportedly noticed that the cardiocap 5 monitor did not show sp02 or nip data. No alarm was reportedly heard; the monitor screen showed 2 "little stripes". The anesthetist reportedly checked the monitor cables, with no result. It was subsequently noted that the anesthesia system was not functioning in mechanical mode. The anesthetist reportedly switched to manual mode to maintain ventilation. The patient expired. Ge healthcare's investigation into the reported occurrence is still ongoing. A follow-up report will be issued when the investigation has been completed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610105-2010-00011
MDR Report Key1728349
Report Source01,05,06
Date Received2010-06-16
Date of Report2010-06-16
Date of Event2010-05-19
Date Mfgr Received2010-05-20
Date Added to Maude2010-06-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactDEBRA LAHR
Manufacturer Street540 W NORTHWEST HIGHWAY
Manufacturer CityBARRINGTON IL 600103076
Manufacturer CountryUS
Manufacturer Postal600103076
Manufacturer Phone8472774472
Manufacturer G1GE HEALTHCARE
Manufacturer Street*
Manufacturer CityMILWAUKEE WI *
Manufacturer CountryUS
Manufacturer Postal Code*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCARDIOCAP 5
Generic NameCONFIGURED MONITORS
Product CodeMLD
Date Received2010-06-16
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE FINLAND
Manufacturer AddressOY, HELSINKI FI


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2010-06-16

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