DeathKDP
ISU MODEL
Received May 26, 2017 · Event occurred May 18, 2017
Report 6593537 · MDR key 6593537
Device
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.