GOMCO 6000 THERMOTIC SUCTION DRAINAGE PUMP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-19 for GOMCO 6000 THERMOTIC SUCTION DRAINAGE PUMP manufactured by Medline Industries, Inc..

Event Text Entries

[127557797] A patient need bi-lateral chest tube as well as an og tube in the resuscitation area. Both suction modules were being used for the chest tubes. I went to grab the portable suction unit and connect it to the og tube. When i turned on the machine the suction light turned on but it was not suctioning. I attempted to trouble shot the lack of suction but was unable to solve the issue. I left the suction connect, since the unit was below the patient it was at least able to work due to gravity. I went to our another area to get the new portable suction unit. I returned to resuscitation and connected the og tube and proceeded to successfully suction the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8083943
MDR Report Key8083943
Date Received2018-11-19
Date of Report2018-11-09
Date of Event2018-10-07
Report Date2018-11-09
Date Reported to FDA2018-11-09
Date Reported to Mfgr2018-11-19
Date Added to Maude2018-11-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGOMCO 6000 THERMOTIC SUCTION DRAINAGE PUMP
Generic NamePUMP, PORTABLE, ASPIRATION (MANUAL OR POWERED)
Product CodeBTA
Date Received2018-11-19
Model Number6000
Catalog Number6000
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-19

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