GALVANIC OXYGEN CELL VTI-102 103102

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-11-19 for GALVANIC OXYGEN CELL VTI-102 103102 manufactured by Vascular Technology.

Event Text Entries

[18915737] Pt on cardiopulmonary support (open heart surgery). At initiation of cpb the arterial line was dark and the oxygen saturation was dropping. The extracorporeal circuit was checked to identify problem. Oxygen analyzer fuel cell (oxygen line) showing 90% oxygen, no apparent problem, oxygen saturation decreasing, cardiopulmonary support was interrupted. Oxygenator was changed assuming the gas transfer was defective. Pt in good condition during interruption. Pt back in cpb, backup oxygen tank was connected directly to the oxygenator bypassing the fuel cell, oxygenation problem was resolved. The oxygen analyzer fuel cell was checked and a crack was found, the crack allowed oxygen to leak to air before entering the oxygenator. Pt was weaned from cpb with no problems and is doing well.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number497518
MDR Report Key497518
Date Received2003-11-19
Date of Report2003-10-21
Date of Event2003-10-13
Date Facility Aware2003-10-13
Report Date2003-10-21
Date Reported to Mfgr2003-10-21
Date Added to Maude2003-11-26
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameGALVANIC OXYGEN CELL
Generic NameFUEL CELL
Product CodeCCL
Date Received2003-11-19
Returned To Mfg2003-10-17
Model NumberVTI-102
Catalog Number103102
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key486273
ManufacturerVASCULAR TECHNOLOGY
Manufacturer Address175 CABOT STREET LOWELL MA 01854 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2003-11-19

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