BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    840 VENTILATOR

    MDR report key: 1062323 · Received June 18, 2008

    Report

    Report Number
    8020893-2008-00295
    Event Type
    Malfunction
    Date Received
    June 18, 2008
    Date of Event
    June 11, 2008
    Report Date
    June 11, 2008
    Manufacturer
    PURITAN-BENNETT CORP
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    NPB WAS NOT AUTHORIZED TO SERVICE THIS VENT BUT TO UPLOAD THE SOFTWARE ONLY. THE CUSTOMER REPLACED THE GUI PCB. IT WAS REPORTED VENT PASSED ALL TESTING.

    Description of Event or Problem · 1

    THE SERVICE REPORT SHOWS THE CUSTOMER REPORTED THAT THE 840 VENTILATOR STOPPED CYCLING WHILE IN USE ON A PT. THE PT WAS NOT HARMED OR INJURED AS A RESULT OF THE EVENT.

    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