BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PURITAN BENNETT

    MDR report key: 11884758 · Received May 26, 2021

    Report

    Report Number
    11884758
    Event Type
    Malfunction
    Date Received
    May 26, 2021
    Date of Event
    January 24, 2021
    Report Date
    May 14, 2021
    Manufacturer
    COVIDIEN LP
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    COVIDIEN LP PURITAN BENNETT 980 VENTILATOR NOT WORKING PROPERLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    779220 PURITAN BENNETT VENTILATOR, CONTINUOUS, FACILITY USE CBK COVIDIEN LP 980

    Patients

    Seq Age Sex Outcome Treatment
    1 21170 DA