FDA Adverse Event
Malfunction
Summary report: N
PULMONETIC
MDR report key: 1203162
·
Received October 10, 2008
Report
- Report Number
- 2031702-2008-00193
- Event Type
- Malfunction
- Date Received
- October 10, 2008
- Report Date
- October 10, 2008
- Manufacturer
- CARDINAL HEALTH 203/PULMONETIC SYSTEMS, INC
- Product Code
- CBK
- PMA / PMN Number
- K060647
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IS
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY THE SERVICE CENTER THAT THE VENTILATOR "GAS IS NOT DELIVERING AND TURBINE IS NOT RUNNING". NO REPORTED HARM TO A PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PULMONETIC | VOLUME VENTILATOR | CBK | CARDINAL HEALTH 203/PULMONETIC SYSTEMS, INC | LTV 1200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |