MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-03-09 for INO BLENDER * manufactured by Ikaria.
[2576204]
Flow control knob on the ino blender would not turn. Had to bag patient until the knob was successfully turned (took 3 healthcare providers trying before successful). Returned to hfjv further complications.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2501105 |
MDR Report Key | 2501105 |
Date Received | 2012-03-09 |
Date of Report | 2012-03-09 |
Date of Event | 2012-02-23 |
Report Date | 2012-03-09 |
Date Reported to FDA | 2012-03-09 |
Date Added to Maude | 2012-03-23 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | INO BLENDER |
Generic Name | BLENDER, NITRIC OXIDE |
Product Code | MRO |
Date Received | 2012-03-09 |
Model Number | * |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | IKARIA |
Manufacturer Address | 2902 DAIRY DR MADISON WI 53718 US 53718 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2012-03-09 |