FDA Adverse Event Malfunction Summary report: N

HT50-H

MDR report key: 1122383 · Received June 11, 2008

Report

Report Number
2023050-2008-00042
Event Type
Malfunction
Date Received
June 11, 2008
Date of Event
April 28, 2008
Report Date
May 16, 2008
Manufacturer
FLIGHT MEDICAL
Product Code
CBK
Product Problem
Yes
Report Source
Distributor report
Reporter Location
VA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

AS REPORTED BY A RESPIRATORY THERAPIST, THE UNIT COMPLETELY SHUT DOWN ITS POWER DURING USE ON A PT WITH NO AUDIBLE ALARM. THE RESPIRATORY THERAPIST APPLIED A MANUAL BREATH APPARATUS TO THE PT. PLEASE NOTE THERE WAS NO DEATH OR SERIOUS INJURY IN THIS CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HT50-H VENTILATOR CBK FLIGHT MEDICAL HT50-H NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN