InjuryCCC
NELLCOR/PEDICAP
Received Feb 8, 2007 · Event occurred Jan 20, 2007
Report MW1041936 · MDR key 819221
Device
Generic name
Pediatric Co2 Detector
Manufacturer
Tyco Healthcare Group/nellcor Puritan BennettModel number
*Catalog number
*
Lot number
6286086
Product problems
- Unable to Obtain Readings
Patient
5 DAY
- Reintubate
Narrative
Description of Event or Problem
MALE WHO WAS BORN VIA EMERGENCY CS WITH APGARS 3/7. THE INFANT HAD ONE INITIAL CRY AND THEN WAS APNEIC AND WAS INTUBATED. FIVE DAYS LATER - INFANT HAD AN AIRWAY OBSTRUCTION BELOW THE LEVEL OF THE ET AND REQUIRED REINTUBATION. THE NELLCOR CO2 DETECTOR WAS APPLIED AND A DELAY OF GREATER THAN 1-2 MINUTES OCCURRED BEFORE A COLOR CHANGE WAS NOTED. THIS DELAY RESULTED IN ANOTHER REINTUBATION FOR THE INFANT.