FDA Adverse Event Malfunction Summary report: N

KNIGHTSTAR

MDR report key: 1203420 · Received October 15, 2008

Report

Report Number
8020893-2008-00534
Event Type
Malfunction
Date Received
October 15, 2008
Date of Event
October 10, 2008
Report Date
October 10, 2008
Manufacturer
NELLCOR PURITAN BENNETT
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

NELLCOR PURITAN BENNETT RECEIVED INFORMATION STATING DEVICE STOP CYCLING DURING PATIENT USE. NO PATIENT INJURY REPORTED AND NO CHANGE IN MEDICAL TREATMENT DUE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KNIGHTSTAR BI-LEVEL VENTILATOR CBK NELLCOR PURITAN BENNETT KNIGHTSTAR 330

Patients

Seq Age Sex Outcome Treatment
1