SPACELABS MULTIGAS MODULE 92518

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2015-01-02 for SPACELABS MULTIGAS MODULE 92518 manufactured by Spacelabs Healthcare Inc..

Event Text Entries

[5238475] Spacelabs received a report that a patient in the operating room? Turned blue? And coincidentally the oxygen readings were delayed from the multigas analyzers model 92518 which are connected to the command modules model 91496 and xprezzon patient monitors model 91393 that are in use. This spacelabs equipment is interfaced to datex omeda anesthesia carts aestiva 3000. No injury was reported as the result of the event which occurred on (b)(6), 2014.
Patient Sequence No: 1, Text Type: D, B5


[12651029] A spacelabs field service engineer was dispatched to the customer site on (b)(4) 2014 to initiate an investigation. All spacelabs equipment used on the anesthesia carts was functionally tested and calibrated. However, the customer could not identify which unit was involved in the event and all equipment continues to be in service without further incident. Spacelabs continues to investigate this event and will file a follow up report when the investigation is concluded. Placeholder.
Patient Sequence No: 1, Text Type: N, H10


[34414431] A spacelabs field service engineer (fse) was dispatched to the customer site to initiate an investigation. The customer could not identify which unit was involved in the event. As part of planned routine maintenance, all spacelabs equipment used on the anesthesia carts was functionally tested and calibrated by the fse. No issue was found with any of the equipment. The fse found that the customer was using non-spacelabs supplied accessory tubing for gas sampling that was wider and longer than the approved spacelabs accessory tubing. The spacelabs user manual identifies that spacelabs sample lines must be used with the spacelabs product, as use of other sample lines may cause inaccurate readings or results. The customer was informed this unapproved tubing could cause the delay in oxygen readings that the customer had experienced, and was advised to use the recommended spacelabs tubing. This report is final and the issue considered closed.
Patient Sequence No: 1, Text Type: N, H10


[34414432] Spacelabs received a report that a patient in an operating room "turned blue" on (b)(6) 2014. Coincidentally, the oxygen readings were delayed from the multigas analyzers model 92518, which are connected to the command modules model 91496 and xprezzon patient monitors model 91393 that are used in the operating rooms. This spacelabs equipment is interfaced to datex omeda anesthesia carts model aestiva 3000. No injury was reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010157426-2014-00081
MDR Report Key4378075
Report Source05
Date Received2015-01-02
Date of Report2015-03-04
Date of Event2014-12-01
Date Mfgr Received2014-12-04
Date Added to Maude2015-01-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. JOHN ZENG
Manufacturer Street35301 SE CENTER ST.
Manufacturer CitySNOQUALMIE WA 98065
Manufacturer CountryUS
Manufacturer Postal98065
Manufacturer Phone4253635915
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPACELABS MULTIGAS MODULE
Generic NameMULTIGAS ANALYZER
Product CodeCBR
Date Received2015-01-02
Model Number92518
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSPACELABS HEALTHCARE INC.
Manufacturer Address35301 SE CENTER ST. SNOQUALMIE 98065 98065


Patients

Patient NumberTreatmentOutcomeDate
10 2015-01-02

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