CIRQLATOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-20 for CIRQLATOR manufactured by Advanced Circulatory.

Event Text Entries

[23663686] Icu patient, being treated for tbi, was being mechanically ventilated in the neuro icu. The patient suffered a desaturation event the previous day, which was attributed to a mucus plug. Patient was stable and placed on the device at 11:00 am ((b)(6) 2015). The airway pressure was unusually high and prompted several airway suctions. Airway pressure remained marginally high. Device was otherwise tolerated. Several hours into device use, fio2 was increased (to 60%) to compensate for a decrease in monitored arterial oxygen saturation (decreasing to 96%). Device was turned off after four hours of use. 60 minutes after the device was turned off, the patient suffered a desaturation, with sats reaching 70%. Patient was manually ventilated with 100% oxygen and emergency bronchoscopy was performed. A moderate amount of mucus was removed from the patient's left lung. After suctioning, the oxygen saturation returned to normal. The patient was returned to mechanical ventilation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003477173-2015-00002
MDR Report Key5019418
Date Received2015-08-20
Date Mfgr Received2015-07-24
Date Added to Maude2015-08-20
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 FDA3
Event Location3
Manufacturer ContactDIANE HOWELL
Manufacturer Street1905 COUNTY ROAD C
Manufacturer CityROSEVILLE 55113
Manufacturer CountryUS
Manufacturer Postal55113
Manufacturer Phone6514035600
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameCIRQLATOR
Product CodeBWF
Date Received2015-08-20
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerADVANCED CIRCULATORY
Manufacturer Address1905 COUNTY ROAD C ROSEVILLE MN 55113 US 55113


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-20

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