MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-09-27 for CAPNOMAC ULTIMA ANESTHESIA MONITOR manufactured by Ge Healthcare Finland Oy.
[2885309]
The customer reported the staff observed smoke coming from the capnomac along with a burning smell. The staff did not report any flames being seen. There was no reported patient injury associated with this event. A follow-up report will be submitted when the investigation is complete.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9610105-2012-00033 |
| MDR Report Key | 2767987 |
| Report Source | 05,06 |
| Date Received | 2012-09-27 |
| Date of Report | 2012-08-30 |
| Date of Event | 2012-08-29 |
| Date Mfgr Received | 2012-08-30 |
| Device Manufacturer Date | 1996-05-01 |
| Date Added to Maude | 2012-10-09 |
| 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 | 3 |
| Reporter Occupation | BIOMEDICAL ENGINEER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | JOY SONSALLA |
| Manufacturer Street | 3000 N. GRANDVIEW BLVD. |
| Manufacturer City | WAUKESHA WI 53188 |
| Manufacturer Country | US |
| Manufacturer Postal | 53188 |
| Manufacturer Phone | 2625482661 |
| Manufacturer G1 | GE HEALTHCARE FINLAND OY |
| Manufacturer City | HELSINKI |
| Manufacturer Country | FI |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CAPNOMAC ULTIMA ANESTHESIA MONITOR |
| Generic Name | PATIENT MONITOR |
| Product Code | CBQ |
| Date Received | 2012-09-27 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | GE HEALTHCARE FINLAND OY |
| Manufacturer Address | HELSINKI FI |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2012-09-27 |