BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    840 VENTILATOR

    MDR report key: 1040422 · Received May 7, 2008

    Report

    Report Number
    8020893-2008-00216
    Event Type
    Malfunction
    Date Received
    May 7, 2008
    Date of Event
    April 5, 2008
    Report Date
    April 8, 2008
    Manufacturer
    PURITAN-BENNETT CORP
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    MULTIPLE ATTEMPTS HAVE BEEN MADE TO CONTACT THE CUSTOMER REGARDING PT INVOLVEMENT. SHOULD FURTHER INFO BECOME AVAILABLE, NPB WILL FOLLOW UP.

    Description of Event or Problem · 1

    THE SERVICE REPORT SHOWS THE CUSTOMER REPORTED THAT THE 840 VENTILATOR STOPPED CYCLING. THE PURITAN BENNETT CUSTOMER SUPPORT ENGINEER (CSE) VERIFIED THE MALFUNCTION. THE CSE INSPECTED THE DEVICE AND REPLACED THE BDU PCB. THE UNIT PASSED EXTENDED SELF TESTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 840 VENTILATOR VENTILLATOR CBK PURITAN-BENNETT CORP 840

    Patients

    Seq Age Sex Outcome Treatment
    1