MAUDE MDR 6135884

MDR report key
6135884
Report number
6135884
Event key
0
Event type
3
Date of event
2016-09-08
Date received
2016-11-30
Adverse event
0
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ANESTHESIA BREATHING CIRCUIT KITANESTHESIA BREATHING CIRCUIT KIT (ADULT & PEDIATRIC)WESTMED, INC.OFP9313* R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12016-11-300

Event Narratives#

N

Patient 1

D

Patient 1

DURING SURGERY, ANESTHESIOLOGIST SUSPECTED PATIENT WAS NOT RESPONDING TO ANESTHETIC AGENT, SEVOFLURANE. CASE WAS JUST GETTING STARTED. AT FIRST IT WAS THOUGHT THAT THE PROBLEM WAS WITH THE ANESTHESIA VENTILATOR, BUT MD REQUESTED SWITCHING OUT THE PATIENT'S BREATHING CIRCUIT. PROBLEM WAS RESOLVED.