MalfunctionCBF
SECHRIST HYPERBARIC VENTILATOR
Received Apr 8, 2011 · Event occurred Apr 7, 2011
Report MW5020232 · MDR key 2057581
Product problems
- Failure to Cycle
Patient
59 YR
- Low Oxygen Saturation
Narrative
Description of Event or Problem
PT IN HYPERBARIC CHAMBER ON VENTILATOR WITH DIRECT OBSERVATION VIA RESP THERAPIST/CRITICAL CARE NURSE AND HYPERBARIC RN. PT COMPLETED 1 HR AND 30 MINUTES OF 1 HR 50 MINUTE TREATMENT WHEN VENTILATOR STOPPED WORKING. THERE WAS NO OXYGEN CYCLING THE VENTILATOR. TREATMENT WAS STOPPED AND PT REMOVED FROM CHAMBER AND VENTILATED WITH BVM. OXYGEN SATS REMAINED OVER 90% AND TO 100% WITH BVM AND OXYGEN. PT RETURNED TO UNIT WITH FULL EXAM BY (B)(4).