FDA Adverse Event
Malfunction
Summary report: N
PENLON ANESTHESIA DELIVERY UNIT
MDR report key: 11292889
·
Received February 5, 2021
Report
- Report Number
- MW5099263
- Event Type
- Malfunction
- Date Received
- February 5, 2021
- Date of Event
- November 10, 2020
- Report Date
- February 3, 2021
- Manufacturer
- PENLON, LTD.
- Product Code
- BSZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PATIENT WAS HAVING A PROCEDURE AND THE SCREEN ON THE PENLON MACHINE WAS NOT WORKING. IT KEPT FREEZING AND THE TOUCH SCREEN AND THE CONTROL KNOB COULD NOT SELECT ANYTHING, BUT THE ANIMATIONS ON THE SCREEN WERE STILL ACTIVE. THE MACHINE WAS SWITCHED OUT AND SURGERY PROCEEDED WITH NO ADVERSE OUTCOME. BIOMED CONTACTED PENLON AND AVANTE, MACHINE WAS TESTED BUT PROBLEM COULD NOT BE DUPLICATED. AVANTE RECOMMENDED REPLACING SCREEN. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 186251 | PENLON ANESTHESIA DELIVERY UNIT | GAS-MACHINE, ANESTHESIA | BSZ | PENLON, LTD. | PRIMA460 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 37 YR | Other |