*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2001-11-06 for * manufactured by Bird Products Corp..

Event Text Entries

[237177] Pt was placed on extracorporeal membrane oxygen cannulation. To prevent over-pressurization to the pt, a pop-off was used to fit in the oxygenator gas line. The co2 in the pt's blood elevated, before and after oxygenation. When the pop off valves were from all circuits, the pco2 level on the pt and the ecmo circuit decreased. The pop-off valves were measured and recorded to pop off at 30cmh2o.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021710-2001-00146
MDR Report Key359920
Report Source06
Date Received2001-11-06
Date of Event2001-02-07
Date Mfgr Received2001-06-06
Date Added to Maude2001-11-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 Location0
Manufacturer ContactTOMORRA RIES
Manufacturer Street1100 BIRD CENTER DRIVE
Manufacturer CityPALM SPRINGS CA 92262
Manufacturer CountryUS
Manufacturer Postal92262
Manufacturer Phone7607787615
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name*
Generic Name*
Product CodeMNJ
Date Received2001-11-06
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key349103
ManufacturerBIRD PRODUCTS CORP.
Manufacturer Address1100 BIRD CENTER DR. PALM SPRINGS CA 92262 US


Patients

Patient NumberTreatmentOutcomeDate
10 2001-11-06

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