FDA Adverse Event Malfunction Summary report: N

V60 VENTILATOR

MDR report key: 10890977 · Received November 24, 2020

Report

Report Number
2031642-2020-04229
Event Type
Malfunction
Date Received
November 24, 2020
Report Date
October 28, 2020
Product Code
MNT
PMA / PMN Number
K082660
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

G4:18FEB2021. B4:19FEB2021. H11:G5:K102985 H10: THE ALARM WAS CLARIFIED TO BE LOW TIDAL VOLUME. THE CUSTOMER DECLINED SUPPORT AND REPAIR. NO FURTHER INFORMATION IS AVAILABLE. . SUBMISSION OF A REPORT DOES NOT CONSTITUTE AN ADMISSION THAT MEDICAL PERSONNEL, USER FACILITY, IMPORTER, DISTRIBUTOR, MANUFACTURER, OR PRODUCT CAUSED OR CONTRIBUTED TO THE EVENT.

Additional Manufacturer Narrative · 1

DATE OF EVENT: (B)(6) 2020. DATE OF REPORT: 23NOV2020.

Description of Event or Problem · 1

AN ALARM WAS REPORTED. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1354634 V60 VENTILATOR VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE MNT V60

Patients

Seq Age Sex Outcome Treatment
1