E-CAIOV

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2015-01-13 for E-CAIOV manufactured by Ge Healthcare Finland Oy.

Event Text Entries

[5372670] The customer reports that during a cholecystectomy a carescape b650 in conjunction with the e-caiov gas module did not provide co2 readings nor did it alarm. The patient did not survive the event.
Patient Sequence No: 1, Text Type: D, B5


[12757786] Ge healthcare's investigation is ongoing. A follow-up report will be submitted once the investigation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[12833654] Root cause undetermined. Gas module (e-caiov), and b650 monitor were checked by gehc field engineer and found to function within manufacturing specifications. Gas module was used for one spinal case and monitor with two more cases that day with no further reported complaints. The investigation concludes the device was operating to specification and did not malfunction.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9610105-2015-00002
MDR Report Key4414112
Report Source01
Date Received2015-01-13
Date of Report2014-12-16
Date of Event2014-12-04
Date Mfgr Received2015-02-06
Date Added to Maude2015-01-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRADIOLOGIC TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDEB LAHR
Manufacturer Street540 W. NORTHWEST HWY
Manufacturer CityBARRINGTON IL 60010
Manufacturer CountryUS
Manufacturer Postal60010
Manufacturer Phone8472774472
Manufacturer G1GE HEALTHCARE FINLAND OY
Manufacturer StreetKUORTANEENKATU 2
Manufacturer CityHELSINKI, 510
Manufacturer CountryFI
Manufacturer Postal Code510
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameE-CAIOV
Generic NameANALYZER, GAS, OXYGEN, GASEOUS-PHASE
Product CodeCCL
Date Received2015-01-13
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE FINLAND OY
Manufacturer AddressKUORTANEENKATU 2 HELSINKI, FI


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2015-01-13

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