BERNOULLI MANAGEMENT SYSTEM X3002489

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2015-02-13 for BERNOULLI MANAGEMENT SYSTEM X3002489 manufactured by Cardiopulmonary Corp.

Event Text Entries

[19986166] It was reported to covidien that the dell cpu on 6 west locked up. The cpu will not complete p. O. S. T. And allow for patient monitoring. When the system went down, the nurses opened the doors to the patient rooms and turned up the alarm volume on the nellcor devices. Each nellcor device functioned properly. There was no patient injury or adverse event.
Patient Sequence No: 1, Text Type: D, B5


[20291408] (b)(4)
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2936999-2015-00145
MDR Report Key4517800
Report Source06,07
Date Received2015-02-13
Date of Report2015-01-19
Date of Event2015-01-19
Date Mfgr Received2015-01-19
Date Added to Maude2015-03-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDENISE BRAXTON
Manufacturer Street6135 GUNBARREL AVE.
Manufacturer CityBOULDER CO 80301
Manufacturer CountryUS
Manufacturer Postal80301
Manufacturer Phone3038768909
Manufacturer G1CARDIOPULMONARY CORP
Manufacturer Street200 CASCADE BLVD
Manufacturer CityMILFORD CT 06460
Manufacturer CountryUS
Manufacturer Postal Code06460
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBERNOULLI MANAGEMENT SYSTEM
Generic NameOXINET III AND LIFEGARD VUE
Product CodeMOD
Date Received2015-02-13
Model NumberX3002489
Catalog NumberX3002489
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerCARDIOPULMONARY CORP
Manufacturer Address200 CASCADE BLVD MILFORD CT 06460 US 06460


Patients

Patient NumberTreatmentOutcomeDate
10 2015-02-13

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