XENON PULMONEX II 132 503 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-05-15 for XENON PULMONEX II 132 503 * manufactured by Biodex Medical Systems Inc..

Event Text Entries

[15100772] During a lung scan, patients were complaining that the biodex pulmonex system had a strong odor and said that it was burning their lungs. Biodex was contacted on the day when the issue was first reported. The initial feedback from biodex was the system may have been contaminated so we were instructed to flush the system with oxygen. When this did not correct the problem we were told the next step would be to replace the hoses, valve, and bags. I was asked to supply the name of the vendors and the lot numbers of the chemicals being used. This information was emailed to biodex on the day after the event. On the second day after the event, i had not yet received the part numbers for the parts i was told to replace so i contacted biodex. I was now told the parts would not fix the problem and this was occurring at 10 other sites. Because i had no progress towards a resolution by the third day, i also on that same day had sent an email requesting an action plan and a timeline for the action plan. No response from the manufacturer was received regarding this email. I was told on day three of the issue occurring that the issue was being investigated by an outside environmental contractor and i would have to wait for the results. On the fourth day, i had not received any status update so i and the department manager called the vendor for a status on the action plan and we were told there was no update available. Later on the fourth day, i received a status call of, "no status change". On days six and seven of the event, there was no status reported nor was there a status update. I called biodex and arranged a call with biodex, clinical engineering management, and the radiology director. On day 11 we were told no cause had yet been determined and they were waiting for the results from the third party company. They agreed to send us an alternate solution. ======================manufacturer response for xenon system, pulmonex (per site reporter). ======================they sent samples from other customers experiencing this same problem to a 3rd party environmental testing company. What was the original intended procedure? Lung scan. Device #1is this a laboratory device or laboratory test? No.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3124895
MDR Report Key3124895
Date Received2013-05-15
Date of Report2013-05-15
Date of Event2013-05-06
Report Date2013-05-15
Date Reported to FDA2013-05-15
Date Reported to Mfgr2013-05-22
Date Added to Maude2013-05-22
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 Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameXENON PULMONEX II
Generic NameSYSTEM, REBREATHING, RADIONUCLIDE
Product CodeIYT
Date Received2013-05-15
Model Number132 503
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age2 YR
Device Sequence No1
Device Event Key0
ManufacturerBIODEX MEDICAL SYSTEMS INC.
Manufacturer Address20 RAMSAY RD SHIRLEY NY 11967 US 11967


Patients

Patient NumberTreatmentOutcomeDate
10 2013-05-15

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