INO BLENDER *

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number2501105
MDR Report Key2501105
Date Received2012-03-09
Date of Report2012-03-09
Date of Event2012-02-23
Report Date2012-03-09
Date Reported to FDA2012-03-09
Date Added to Maude2012-03-23
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameINO BLENDER
Generic NameBLENDER, NITRIC OXIDE
Product CodeMRO
Date Received2012-03-09
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerIKARIA
Manufacturer Address2902 DAIRY DR MADISON WI 53718 US 53718


Patients

Patient NumberTreatmentOutcomeDate
10 2012-03-09

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