N/A 5500 N/I

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-11-20 for N/A 5500 N/I manufactured by Ohmeda.

Event Text Entries

[19253196] During an anesthetic, the tubing came loose from the airway pressure monitor. This resulted in a sudden, large leak in the anesthesia circuit which made it difficult to adequately ventillate the patient. The problem was corrected before any injury to the patient occurred. The tubing fitting is inadequate to securely fasten the tubing to the fitting. This was reported to the distributor (ohmeda) after a previous incident. Their suggested repair, a tubing clamp. Was placed and did not prevent this incidentdevice not labeled for single use. Patient medical status prior to event: satisfactory condition. There was not multiple patient involvement. Device serviced in accordance with service schedule. Date last serviced: 01-oct-92. Service provided by: factory trained/authorized/owned service organization. Invalid data - service records availability. Imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, mechanical tests performed, performance tests performed, visual examination. Results of evaluation: design - inadequate, telemetry failure, none or unknown, connector or adaptor. Conclusion: device failure occurred and was related to event, device failure directly caused event. Certainty of device as cause of or contributor to event: yes. Corrective actions: device permanently removed from service, use of all similar devices stopped permanently. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1878
MDR Report Key1878
Date Received1992-11-20
Date of Report1992-11-06
Report Date1992-11-06
Date Reported to FDA1992-11-06
Date Added to Maude1992-12-14
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameN/A
Generic NameAIRWAY PRESSURE MONITOR
Product CodeCAP
Date Received1992-11-20
Model Number5500
Catalog NumberN/I
Lot NumberN/A
ID Number6050-0000-379
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Age01-JAN-90
Implant FlagN
Device Sequence No1
Device Event Key1753
ManufacturerOHMEDA


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1992-11-20

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