MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-27 for FLOW-I FLOW-I C20 6677200 manufactured by Maquet Critical Care Ab.
[188084796]
It was reported that while the anesthesia workstation was in use during treatment a leakage occurred and the fio2 decreased. There was no patient harm. (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 8010042-2020-00185 |
| MDR Report Key | 9888292 |
| Report Source | COMPANY REPRESENTATIVE,FOREIG |
| Date Received | 2020-03-27 |
| Date of Report | 2020-03-27 |
| Date of Event | 2020-03-05 |
| Date Mfgr Received | 2020-03-05 |
| Device Manufacturer Date | 2017-08-17 |
| Date Added to Maude | 2020-03-27 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | BIOMEDICAL ENGINEER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Street | ROENTGENVAGEN 2 |
| Manufacturer City | SOLNA |
| Manufacturer Country | US |
| Manufacturer G1 | MAQUET CRITICAL CARE AB |
| Manufacturer Street | ROENTGENVAGEN 2 |
| Manufacturer City | SOLNA |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | FLOW-I |
| Generic Name | GAS-MACHINE, ANESTHESIA |
| Product Code | BSZ |
| Date Received | 2020-03-27 |
| Model Number | FLOW-I C20 |
| Catalog Number | 6677200 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MAQUET CRITICAL CARE AB |
| Manufacturer Address | ROENTGENVAGEN 2 SOLNA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-27 |