MODEL 3200R HYPERBARIC CHAMBER
Received Mar 8, 2010 · Event occurred Feb 2, 2010
Report 2020676-2010-00001 · MDR key 1625920
Device
Generic name
Hyperbaric Chamber
Manufacturer
Sechrist Industries, Inc.Model number
3200RCatalog number
3200R
Product problems
- Normal
Patient
61 YR
- Anoxia
- Death
- Seizures, Grand-Mal
Narrative
Additional Manufacturer Narrative
LETTER RECEIVED FROM HOSPITAL ALONG WITH MEDWATCH FORM INDICATES "... WE DON'T BELIEVE THERE IS ANY PROBLEM WITH THE CHAMBER ... STAFF HAS ALREADY CONTACTED YOU FOR A SERVICE CALL." SERVICE TECHNICIAN SENT TO HOSPITAL TO PERFORM VISUAL INSPECTION AND PERFORMANCE VERIFICATION TO APPROVED FIELD SERVICE PROCEDURE. NO ADJUSTMENTS OR REPAIRS WERE NECESSARY - DEVICE OPERATING TO SPECIFICATIONS.
Description of Event or Problem
THE FOLLOWING WAS PROVIDED DESCRIPTION OF EVENTS TRANSCRIBED FROM LETTER SENT WITH MEDWATCH FORM. "THE PT HAD A HISTORY OF DIABETES MELLITUS, PERIPHERAL ARTERY DISEASE, LEFT BELOW KNEE AMPUTATION, OSTEOMYELITIS OF THE RIGHT FOOT AND STATUS POST RIGHT METATARSAL AMPUTATION. HE'D HAD NUMEROUS TREATMENTS BEFORE THIS DATE. DURING THIS PARTICULAR TREATMENT, HE DEVELOPED A GRAND-MAL SEIZURE THAT WAS SHORT AND PT WAS POST-ICTAL WHEN HE BEGAN TO HAVE AGONAL RESPIRATIONS. OF COURSE, DECOMPRESSION HAD ALREADY BEGUN, BUT HE WAS EMERGENTLY DECOMPRESSED WITH THIS CHANGE. TWO PHYSICIANS WERE IN ATTENDANCE AND CPR WAS ADMINISTERED SUCCESSFULLY WITH ACLS PROTOCOL. THE FOLLOWING DAY, THE PT'S TROPONIN I LEVEL ROSE TO 18.66, HIS EJECTION FRACTION WAS 16% AND HE WAS DIAGNOSED WITH ACUTE ANOXIC ENCEPHALOPATHY. HE DIED ON (B) (6) 2010."
Remedial action
- Repair