inforMED
DeathKDP

ISU MODEL

Received May 26, 2017 · Event occurred May 18, 2017

Report 6593537 · MDR key 6593537

Device

Generic name

Suction Regulator

Manufacturer

Ohmeda Medical

Model number

6-1251

Product problems

  • Device Operates Differently Than Expected

Patient

73 YR

  • Death
  • Death

Narrative

Description of Event or Problem

THE REGULATOR DID NOT WORKED IN CODE. PORTABLE SUCTION USED WHILE SECOND SETUP WAS COMPLETED DURING CODE. MAINTENANCE CAME TO (ROOM OF CODE) AND CHECKED HEADWALL SUCTION. FOUND TO BE WORKING PROPERLY. MAINTENANCE SAID THAT PRESSURES AT THE WALL CHECKED OK. TOOK REGULATOR AND TESTED IT IN ROOM. PLUGGED IN, AND TURNED PRESSURE KNOB TO "ON" AND RAN PRESSURE UP THROUGH ENTIRE RANGE TO "HIGH" AND BACK DOWN. PASSED OPERATIONAL CHECK. RETURNED GAUGE TO NURSE MANAGER.