BEUDAMED
    FDA Adverse Event Death Summary report: N

    LP 10

    MDR report key: 127437 · Received October 22, 1997

    Report

    Report Number
    127437
    Event Type
    Death
    Date Received
    October 22, 1997
    Date of Event
    October 12, 1997
    Report Date
    October 12, 1997
    Manufacturer
    AEQUITRON MED INC
    Product Code
    CBK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    VENTILATOR CIRCUIT FOUND DETACHED FROM TRACH, THE VENTILATOR DID NOT ALARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LP 10 VENTILATOR CBK AEQUITRON MED INC LP10 *

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Death FISCHER & PAYKEL HUMIDIFIER