inforMED
DeathCAP

AIRWAY PRESSURE MONITOR

Received Feb 6, 2004 · Event occurred Mar 22, 2000

Report 2518422-2004-00006 · MDR key 510144

Device

Generic name

Monitor, Airway Pressure (including Gauge And/or Alarm)

Manufacturer

Respironics, Inc.

Model number

332259

Catalog number

332259

Lot number

NA

Product problems

  • Device Inoperable
  • Device Issue
  • Malfunction
  • Defective Device

Patient

1 YR

  • Death

Narrative

Description of Event or Problem

INFO WAS RECEIVED REGARDING AN ALLEGATION THAT MEDICAL EQUIPMENT SUPPLIED TO A PT WAS DEFECTIVELY PROVIDED AND/OR MAINTAINED AND OTHERWISE MALFUNCTIONED AND/OR BECAME INOPERATIVE WHILE IN PT USE. THE ALLEGED PROBLEM WITH THE EQUIPMENT OCCURRED PROXIMATELY CAUSING THE DEATH OF THE PT TWO DAYS LATER. IT IS UNCLEAR WHICH OF THE PRODUCTS ALLEGEDLY MALFUNCTIONED. IT IS UNCLEAR IF THE EQUIPMENT WAS IN PT USE AT THE TIME OF DEATH. THE EQUIPMENT IS NOT CURRENTLY AVAILABLE FOR INVESTIGATION. THE ALARM SETTINGS AT THE TIME OF THE ALLEGED MALFUNCTION ARE UNK. IT IS UNK AT THIS TIME WHETHER A DEVICE FAILURE HAD ACTUALLY OCCURRED AND IF SO, WHETHER THERE WAS ANY ASSOCIATION BETWEEN ANY SUCH FAILURE AND THE PT EXPIRING.