BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PURITAN BENNETT

    MDR report key: 1202357 · Received October 10, 2008

    Report

    Report Number
    MW5008662
    Event Type
    Malfunction
    Date Received
    October 10, 2008
    Date of Event
    September 23, 2008
    Report Date
    September 26, 2008
    Manufacturer
    TYCO HEALTHCARE PURITAN BENNETT
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NINETY ONE YEAR OLD FEMALE WITH HISTORY OF COPD, RESPIRATORY FAILURE CORONARY ARTERY DISEASE 5/PTRACH ON PURITAN BENNETT 840 VENT. IN 2008 AT 1600, THE VENT ALARMED AND EXHIBITED "RED ALERT" VENT INOP" SIGNAL. VENT CHANGED OUT WITH NO NEGATIVE PT OUTCOME. PT VS= 114/50, 68,18. PT MAINTAINED ADEQUATE TIDAL VOLUMES. ACCORDING TO PURITAN BENNETT ENGINEER REPORT: SYSTEM ERROR LOG= O2 PSOL STUCK OPEN. CODE TYPE = KB0026, TASK 8 BD, ERROR CODE: OX 8000. 840 VENT REPAIRED. DEVICE HOURS = 392.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PURITAN BENNETT PB 840 CBK TYCO HEALTHCARE PURITAN BENNETT 840

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR