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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ATRIUM MEDICAL EXPRESS PREFILLED DRAINS; APPARATUS, AUTOTRANSFUSION

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ATRIUM MEDICAL EXPRESS PREFILLED DRAINS; APPARATUS, AUTOTRANSFUSION Back to Search Results
Device Problem Air Leak (1008)
Patient Problems Dyspnea (1816); Pain (1994); Pneumonia (2011); Pneumothorax (2012); Transient Ischemic Attack (2109)
Event Type  Injury  
Manufacturer Narrative
A complete investigation was not able to be performed as no product code, lot number or sample was provided.Per the study the patients with air leaks can be safely discharged home with their chest tubes.
 
Event Description
Received an article titled "the removal of chest tubes despite an air leak or a pneumothorax".The purpose of the article was to evaluated the safety of chest tube removal in patients with an air leak.Per the article adverse events included empyema, air leak, pneumothorax, gastrointestinal complaints, pain, pneumonia, transient ischemic attack and progressive dyspnea.
 
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Brand Name
EXPRESS PREFILLED DRAINS
Type of Device
APPARATUS, AUTOTRANSFUSION
Manufacturer (Section D)
ATRIUM MEDICAL
40 continental blvd
merrimack NH 03054
Manufacturer (Section G)
ATRIUM MEDICAL
40 continental blvd
merrimack NH 03054
Manufacturer Contact
40 continental blvd
merrimack, NH 03054
MDR Report Key7535861
MDR Text Key108976906
Report Number3011175548-2018-00505
Device Sequence Number1
Product Code CAC
Combination Product (y/n)N
PMA/PMN Number
K081718
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type literature,study
Reporter Occupation Physician
Type of Report Initial
Report Date 05/22/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/22/2018
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
Date Manufacturer Received05/04/2018
Is the Device Single Use? No
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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