MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,07 report with the FDA on 2010-07-07 for FLEXIBLE KARMAN CANNULAE FC4 manufactured by Womancare Global.
[15557700]
The woman came to a clinic to terminate her pregnancy. She was at (b) (6) gestation upon examination. During the procedure severe bleeding started. A 10 iu oxytocin given and fluid replacement was done with a pint of ringer lactate. Bleeding stopped, then started again. In the recovery room she was given 10 iu oxytocin, and fluid replacement was done with 1 pint of haemaccel. She was then taken to a referral hospital 15 minutes away. She died within 20 minutes in the referral hospital.
Patient Sequence No: 1, Text Type: D, B5
[15848359]
Additional model numbers: fc5, fc6. Additional catalog numbers: fc5, fc6. This report pertains to one event that occurred with the use of the product described in this report connected to the product described in manufacturer report #3008007615-2010-005.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 3008007615-2010-00004 |
MDR Report Key | 1751268 |
Report Source | 01,05,07 |
Date Received | 2010-07-07 |
Date of Report | 2010-07-08 |
Date of Event | 2010-05-23 |
Date Mfgr Received | 2010-06-11 |
Date Added to Maude | 2010-07-13 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Street | 300 MARKET STREET SUITE 134 |
Manufacturer City | CHAPEL HILL NC 27516 |
Manufacturer Country | US |
Manufacturer Postal | 27516 |
Manufacturer Phone | 9194422621 |
Manufacturer G1 | PACIFIC HOSPITAL SUPPLY CO. |
Manufacturer City | TONG LO |
Manufacturer Country | TW |
Single Use | 3 |
Remedial Action | OT |
Previous Use Code | 3 |
Removal Correction Number | NA |
Event Type | 3 |
Type of Report | 3 |
Brand Name | FLEXIBLE KARMAN CANNULAE |
Product Code | HGH |
Date Received | 2010-07-07 |
Model Number | FC4 |
Catalog Number | FC4 |
Lot Number | UNKNOWN |
ID Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | WOMANCARE GLOBAL |
Manufacturer Address | CHAPEL HILL NC US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Death | 2010-07-07 |