BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERVAR 230V POWERSUPPLY

    MDR report key: 1162329 · Received September 8, 2008

    Report

    Report Number
    1220063-2008-00028
    Event Type
    Malfunction
    Date Received
    September 8, 2008
    Date of Event
    August 7, 2008
    Report Date
    August 8, 2008
    Manufacturer
    DRAEGER MEDICAL SYSTEMS, INC (IT/M)
    Product Code
    BSZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ACCORDING TO THE COMPLAINANT, THE UPS HAD BEEN DISCARDED. AN INCOMPLETE SERIAL NUMBER WAS SUBMITTED AND CAN NO LONGER BE VERIFIED. THE DATE CODE GIVEN CAN BE TRANSLATED TO A PRODUCTION DATE OF THE UPS AS (B) (4) 2007. THE ROOT CAUSE FOR THE REPORTED STRONG SMOKE ODOR FROM THE UPS CANNOT BE DETERMINED AS THE CITED UPS IS NO LONGER AVAILABLE.

    Description of Event or Problem · 1

    CUSTOMER REPORTED STRONG SMOKE DEVELOPMENT FROM THE UPS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWERVAR 230V POWERSUPPLY POWER SUPPLY BSZ DRAEGER MEDICAL SYSTEMS, INC (IT/M) MS18470 0730057

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK