FDA Adverse Event Summary report: N

*

MDR report key: 1182223 · Received July 15, 2008

Report

Report Number
3003135857-2008-00044
Date Received
July 15, 2008
Manufacturer
FLIGHT MEDICAL LTD.
Product Code
CBK
PMA / PMN Number
k992133
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

IT WAS CONFIRMED THAT THE LAST TIME THIS UNIT WAS SERVICED WAS IN DECEMBER, 2004 AND THE HOUR METER WAS READING 1613. NOT THE HOUR METER READING IS 20612. ACCORDING TO THE MFR'S SVC REQUIREMENTS OF THE HT50 MODEL, THE MOTOR PUMP SHOULD BE REPLACED EVERY 10,000 HOURS. THE DISTRIBUTOR/IMPORTER INFORMED THAT THE PREVENTIVE MAINTENANCE HAS NEVER BEEN PERFORMED ON THIS UNIT AT THE USER FACILITY. DEVICE FAILURE WAS MOST LIKELY RELATED TO USER MAINTENANCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * CBK FLIGHT MEDICAL LTD. * *

Patients

Seq Age Sex Outcome Treatment
1