DR?GERSORB 800 PLUS (5L) MX00001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2020-03-11 for DR?GERSORB 800 PLUS (5L) MX00001 manufactured by Dr?gerwerk Ag & Co. Kgaa.

Event Text Entries

[182909770] The investigation is still on-going. The results will be provided within a follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[182909771] It was reported that during a case the fraction of expired co2 increased so that replacement of the lime in the bin was necessary. The nurse reportedly was not able to open the new bin. While trying she hurt her right hand and right arm. After the event we were informed that the nurse suffered from searing pain in the thumb and right arm. Additionally it resulted in permanent musculo-tendon pain, an inability to perform some gestures involving hand, wrist and right forearm.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9611500-2020-00070
MDR Report Key9817334
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2020-03-11
Date of Report2020-03-11
Date of Event2020-01-31
Date Mfgr Received2020-02-11
Date Added to Maude2020-03-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer G1DR
Manufacturer StreetMOISLINGER ALLEE 53-55
Manufacturer CityL 23542
Manufacturer CountryGM
Manufacturer Postal Code23542
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDR?GERSORB 800 PLUS (5L)
Generic NameABSORBENT, CARBON-DIOXIDE
Product CodeCBL
Date Received2020-03-11
Model NumberNA
Catalog NumberMX00001
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerDR?GERWERK AG & CO. KGAA
Manufacturer AddressMOISLINGER ALLEE 53-55 L?BECK 23542 GM 23542


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-11

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