FDA Adverse Event
Malfunction
Summary report: N
BEAR
MDR report key: 120058
·
Received September 16, 1997
Report
- Report Number
- 2022747-1997-00127
- Event Type
- Malfunction
- Date Received
- September 16, 1997
- Report Date
- September 15, 1997
- Manufacturer
- ALLIED HEALTHCARE
- Product Code
- CBK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- INVALID DATA
Narratives
Additional Manufacturer Narrative · 1
FIELD SERVICE INSPECTED THE VENTILATOR AND DETERMINED THAT THE MODE SELECT PCB WAS THE CAUSE OF THE PSV FAILURE. LAB TEST: TEST THE PCB IN A TEST UNIT SHOWED NO PROBLEMS WITH THE PSV BREATH DELIVERY.
Description of Event or Problem · 1
PSV WORKING INTERMITTENTLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BEAR | VOLUME VENTILATOR | CBK | ALLIED HEALTHCARE | BEAR 3 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |