DeathBZD
RESPIRONICS
Received Oct 18, 1999 · Event occurred Oct 13, 1999
Report 245199 · MDR key 245199
Device
Generic name
Positive Airway Pressure Machine
Manufacturer
Respironics, Inc.Model number
BIPAP S/T 332203Catalog number
*
Lot number
*
Product problems
- Device Alarm System
- Disconnection
- Respirator, detachment from
Patient
3 YR
- Death
- Respiratory arrest
- Resuscitation
Narrative
Description of Event or Problem
CHILD WAS ROOMING IN WITH MOTHER IN THE PEDIATRIC INTERMEDIATE INTENSIVE CARE UNIT IN PREPARATION FOR DISCHARGE. ON TRACH COLLAR DURING THE DAY, CONNECTED TO BIPAP DURING NIGHT TIME HOURS. MOTHER SUMMONED HELP, CLAIMS BIPAP WAS DISCONNECTED FROM TRACH AND DID NOT HEAR ALARM. CLAIMS SHE HEARD PULSE OX ALARM. STAFF RESPONDED IMMEDIATELY. RESUSCITATION EFFORTS WERE UNSUCCESSFUL.