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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ATRIUM MEDICAL CORPORATION PNEUMOSTAT CHEST VALVE; BOTTLE, COLLECTION, VACUUM

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ATRIUM MEDICAL CORPORATION PNEUMOSTAT CHEST VALVE; BOTTLE, COLLECTION, VACUUM Back to Search Results
Device Problems Obstruction of Flow (2423); Device Dislodged or Dislocated (2923); Gas/Air Leak (2946)
Patient Problem No Information (3190)
Event Type  Injury  
Manufacturer Narrative
We are unable to fully investigate this report as no product number, lot number or sample was provided.It is not known what relationship the pneumostat chest valve has to the reported adverse events.The article suggests that outpatient management of selected patients with ssp may be effective, safe and cost-saving.Based on the information available atrium has determined that the events described are not related to a product failure.Not available for return.
 
Event Description
Received an article titled safety and efficacy of ambulatory management of secondary spontaneous pneumothorax: a case series.Purpose: we prospectively evaluated our practice over a 3-year period and explore outcomes of patients with ssp using primary spontaneous pneumothorax (psp) as a comparator group.Method: 163 consecutive patients presenting to our hospital between september 2014 and july 2017 were evaluated using a predefined protocol.Per the article adverse events included: persistent air leak requiring surgery, drain dislodgement, blockage, empyema, pain, recurrence.
 
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Brand Name
PNEUMOSTAT CHEST VALVE
Type of Device
BOTTLE, COLLECTION, VACUUM
Manufacturer (Section D)
ATRIUM MEDICAL CORPORATION
40 continental blvd
merrimack NH 03054
Manufacturer (Section G)
ATRIUM MEDICAL CORPORATION
40 continental blvd
merrimack NH 03054
Manufacturer Contact
lynda mclaughlin
40 continental blvd
merrimack, NH 03054
MDR Report Key10000773
MDR Text Key190436694
Report Number3011175548-2020-00582
Device Sequence Number1
Product Code KDQ
Combination Product (y/n)N
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Physician
Type of Report Initial
Report Date 04/27/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/22/2020
Initial Date FDA Received04/27/2020
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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