BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    840 VENTILATOR

    MDR report key: 1062334 · Received June 18, 2008

    Report

    Report Number
    8020893-2008-00293
    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
    MI, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    CUSTOMER REPAIRED THE VENT. NPB NOT AUTHORIZED TO SERVICE THE VENT BUT TO UPLOAD THE SOFTWARE ONLY. 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 PATIENT. THE PATIENT 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