FDA Adverse Event Malfunction Summary report: N

840 VENTILATOR

MDR report key: 1060166 · Received June 11, 2008

Report

Report Number
8020893-2008-00264
Event Type
Malfunction
Date Received
June 11, 2008
Date of Event
May 13, 2008
Report Date
May 14, 2008
Manufacturer
PURITAN-BENNETT CORP
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

AS PER CUSTOMER, THE VENTILATOR STOPPED CYCLING DUE TO PROCEDURE ERROR.

Description of Event or Problem · 1

THE SERVICE REPORT SHOWS THE CUSTOMER REPORTED THAT THE 840 VENTILATOR STOPPED CYCLING WHILE IN USE ON A PATIENT. THE PATIENT WAS NOT HARMED OR INJURED AS A RESULT OF THE EVENT. THE PURITAN BENNET CUSTOMER SUPPORT ENGINEER (CSE) INSPECTED THE DEVICE. NO PROBLEM FOUND. THE UNIT PASSED EXTENDED SELF TESTING.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1