NEURX DIAPHRAGM PACING SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-01 for NEURX DIAPHRAGM PACING SYSTEM manufactured by Synapse Biomedical.

Event Text Entries

[74431650] Pt admitted due to right hemothorax, left sided chest pain emesis, acute blood loss anemia and hypotension. Pt presented to er after having chest pain worse with inspiration which was sudden onset while in the shower on (b)(6) 2017 at 9:15 am. Upon admittance pt still complained of chest pain and had several episodes of emesis. Ct performed in er showing large compressive left complex fluid collection. Physicians drained the fluid via pigtail and sent fluid for analysis which showed no growth after 5 days.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069531
MDR Report Key6541159
Date Received2017-05-01
Date of Report2017-05-01
Date of Event2017-04-19
Date Added to Maude2017-05-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameNEURX DIAPHRAGM PACING SYSTEM
Generic NameDIAPHRAGM PACER
Product CodeOIR
Date Received2017-05-01
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSYNAPSE BIOMEDICAL
Manufacturer AddressOBERLIN OH 44074 US 44074


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2017-05-01

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