BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SERVO-I

    MDR report key: 1243483 · Received August 27, 2008

    Report

    Report Number
    1225700-2008-00152
    Event Type
    Malfunction
    Date Received
    August 27, 2008
    Date of Event
    May 4, 2008
    Report Date
    August 1, 2008
    Manufacturer
    MAQUET CRITICAL CARE AB
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    WV, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IT IS REPORTED THAT WHEN THE VENTILATOR WAS CONNECTED TO A PT, THE PT BECAME DISCONNECTED WITHOUT ALARMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SERVO-I CBK CBK MAQUET CRITICAL CARE AB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *