inforMED
DeathIZF

PLY C-OMCP-VISUB (H3000)

Received Aug 4, 2011 · Event occurred Jan 1, 2011

Report 3003768277-2011-00447 · MDR key 2196413

Device

Manufacturer

Philips Healthcare

Model number

72238

Product problems

  • Device Operates Differently Than Expected

Patient

Not reported

  • Air Embolism
  • Death

Narrative

Description of Event or Problem

PHILIPS WAS INFORMED THAT A PT DIED AFTER INJECTION OF AIR BY AN INJECTOR. INFORMATION WAS RECEIVED ON (B)(6), VIA AN EXTERNAL SOURCE, INDEPENDENT OF THE HOSPITAL AND UNRELATED TO PHILIPS WHICH LEADS PHILIPS TO THE CONCLUSION THAT AN ADVERSE EVENT INCIDENT HAS OCCURRED EARLIER AT A SITE WHERE OUR ENGINEER, APPARENTLY, SHORTLY AFTER THE INCIDENT OCCURRED WAS REQUESTED TO CHECK THE FUNCTIONALITY OF THE INJECTOR CONNECTED TO ONE OF OUR X-RAY SYSTEMS.

Additional Manufacturer Narrative

(B)(4). WHEN INVESTIGATION IS COMPLETED, A FOLLOW-UP REPORT WILL BE SENT TO THE FDA.