FDA Adverse Event
Malfunction
Summary report: N
7200A MICROPROCESSOR VENTILATOR
MDR report key: 135586
·
Received November 25, 1997
Report
- Report Number
- 2024500-1997-00327
- Event Type
- Malfunction
- Date Received
- November 25, 1997
- Date of Event
- October 29, 1997
- Report Date
- November 3, 1997
- Manufacturer
- PURITAN BENNETT CORP.
- Product Code
- CBK
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE PRODUCT COMPLAINT REPORT SHOWS THE CUSTOMER ALLEGED NO/INTERMITTENT AC ALARM AFTER HE COMPLETED A 10 K PM. THE CUSTOMER REPLACED THE HARNESS. THE CUSTOMER HAD DISCARDED THE PART THEREFORE NO INVESTIGATION CAN BE DONE. IT IS NOT VERIFIED THAT THE UNIT HAD NO/INTERMITTENT AC ALARM. AND NO MALFUNCTION MAY HAVE OCCURRED. 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 | 7200A MICROPROCESSOR VENTILATOR | VOLUME VENTILATOR | CBK | PURITAN BENNETT CORP. | 7200A | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |