*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-05-18 for * manufactured by Terumo Medical Corporation.

Event Text Entries

[372102] The nurse caring for the patient noticed a small drop of blood on the flowprobe. A short time later there was approximately 5cc of blood coming from a suspicious joint in the flowprobe and the perfusionist was alerted. The pump began to alarm "low flow". The site was clamped and the blood circulated through the bridge. The doctor was at the bedside, dopamine was started, and epinephrine was increased. Heart rate and bp remained satisfactory. Air accumulated next to the clamp and, with adjustment, was sent into the oxygenator. During this time a new flowprobe was inserted and the old one removed. This resulted in the patient being off the machine for 26 minutes. The patient did maintain good pressures and the epi was able to be weaned down.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number606268
MDR Report Key606268
Date Received2005-05-18
Date of Report2005-05-18
Date of Event2005-05-10
Report Date2005-05-18
Date Reported to FDA2005-05-18
Date Added to Maude2005-05-26
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameFLOWPROBE
Product CodeDPT
Date Received2005-05-18
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityY
Device Age1 DY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key596050
ManufacturerTERUMO MEDICAL CORPORATION
Manufacturer Address2101 COTTONTAIL LANE SOMERSET NJ 08873 US


Patients

Patient NumberTreatmentOutcomeDate
10 2005-05-18

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