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 |