DeathBYP
ONE WAY VALVE
Received Sep 2, 2016 · Event occurred Aug 24, 2016
Report 5935417 · MDR key 5935417
Device
Generic name
One Way Valve
Manufacturer
GeProduct problems
- Connection error
- Connection Problem
- Connection error
Patient
46 YR
- Death
- Death
Narrative
Description of Event or Problem
MANUAL VENTILATION OF A PATIENT IN MRI SUITE WITH AMBU BAG, CORRUGATED TUBING AND ONE WAY VALVE. THE ONE WAY VALVE ASSEMBLE BETWEEN THE CORRUGATED TUBING AND THE ENDOTRACHEAL TUBE DID NOT ALLOW FOR EXHALATION. THE PATIENT EXPERIENCED CARDIOPULMONARY ARREST AND EXPIRED.