FDA Adverse Event
Injury
Summary report: N
7200 SERIES MICROPROCESSOR VENTILAT
MDR report key: 135079
·
Received November 24, 1997
Report
- Report Number
- 2024500-1997-00323
- Event Type
- Injury
- Date Received
- November 24, 1997
- Date of Event
- October 8, 1996
- Report Date
- November 10, 1997
- Manufacturer
- PURITAN BENNETT
- Product Code
- CBK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
THE CUSTOMER ALLEGED THAT ON OR ABOUT 10/08/1997, A PT WHO HAD UNDERGONE ESOPHAGOGASTRODUODENOSCOPY, SUFFERED AN ARREST AND THAT THE VENTILATOR AND/OR THE VENTILATOR ALARM SYS MALFUNCTIONED IN THAT THE ALARM SHOULD HAVE GONE OFF, NOTIFYING THE HOSP PERSONNEL OF THE PT'S CONDITION. THERE IS NO FURTHER INFO AVAILABLE REGARDING EITHER THE DEVICE, THE TESTING OF THE DEVICE OR THE PT CONDITION. THIS REPORT IS NOT AN ADMISSION BY NELLCOR PURITAN BENNETT THAT THIS DEVICE CAUSED OR CONTRIBUTED TO THE EVENT ALLEGED IN THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 7200 SERIES MICROPROCESSOR VENTILAT | VOLUME VENTILATOR | CBK | PURITAN BENNETT | 7200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Disability |