FDA.reportPublic FDA data

MAUDE MDR 301755

MDR report key
301755
Report number
301755
Event key
0
Event type
3
Date received
2000-10-11
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MERRIMAN-GRAVES MEDICAL PRODUCTSCO2 CYLINDERMERRIMAN-GRAVES MEDICALKGAE-CYLINDERUN 1013CN*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12000-10-1101. O

Event Narratives#

D

Patient 1

LAPAROSCOPIC CHOLECYSTECTOMY PERFORMED USING CO2 FOR INFLATION OF ABDOMEN. FOG DEVELOPED IN ABDOMEN (2ND CLASS) CLEARED SOMEWHAT BUT NOT COMPLETELY WHEN INFLATION PORT CHANGED. CO2 CYLINDER CHECK: O2=CONCENTRATION 0%; CO2=NONE DETECTED, -43%=DEW POINT.