OHIO CONTINUOUS SUCTION REGULATOR
Received Nov 19, 1997 · Event occurred Jul 20, 1996
Report 1121732-1997-00019 · MDR key 133038
Device
Product problems
- Suction Problem
Patient
0 DAY
- Brain damage
Narrative
Description of Event or Problem
IT WAS REPORTED THE WHEN A NEWBORN POST-TERM BABY WAS BEING TREATED FOR MECONIUM ASPIRATION, THE SUBJECT DEVICE FAILED TO PROVIDE SUCTION WHEN NEEDED. THE HOSPITAL REPORTED THAT THE PATIENT SUSTAINED PERMANENT BRAIN DAMAGE. THE ALLEGED INCIDENT TOOK PLACE MORE THAN A YEAR PRIOR TO OHMEDA'S NOTIFICATION, WHICH OCCURRED IN CONJUNCTION WITH THE HOSPITAL'S REQUEST FOR A MANUAL. THE HOSPITAL HAD DISCARDED THE MANUAL THAT ACCOMPANIED THE PRODUCT WHEN IT WAS ORIGINALLY RECEIVED. THE HOSPITAL ALSO STATED THAT IT HAS A MAINTENANCE CONTRACT WITH AN OUTSIDE SERVICE COMPANY WHICH PERFORMS CORRECTIVE MAINTENANCE, BUT DOES NOT PERFORM PREVENTIVE MAINTENANCE ON THEIR EQUIPMENT.
Remedial action
- Other