inforMED
DeathBZK

GAS MODULE 3

Received Mar 26, 2020 · Event occurred Feb 21, 2020

Report 3009156722-2020-00006 · MDR key 9886524

Device

Generic name

Gas Module

Catalog number

0998-00-1900-01

Product problems

  • No Apparent Adverse Event
  • No Apparent Adverse Event

Patient

7 YR

  • Sudden Cardiac Death
  • Sudden Cardiac Death

Narrative

Additional Manufacturer Narrative

THE USER FACILITY REQUESTED AN EVALUATION OF THE EQUIPMENT; NO MALFUNCTION OF THE EQUIPMENT WAS CLAIMED. THE RESULTS OF THE EVALUATION DETERMINED THE GAS MODULE REQUIRED N2O CALIBRATION ONLY.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT MONITORED ON A PASSPORT 2 MONITOR AND GAS MODULE WAS HAVING SURGERY AND ONE MINUTE INTO THE PROCEDURE THE PATIENT'S HEART STOPPED; THE PATIENT LATER EXPIRED.