BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LP10 VOLUME VENTILATOR

    MDR report key: 139024 · Received December 16, 1997

    Report

    Report Number
    2183157-1997-00325
    Event Type
    Malfunction
    Date Received
    December 16, 1997
    Date of Event
    November 14, 1997
    Report Date
    November 14, 1997
    Manufacturer
    NELLCOR PURITAN BENNETT
    Product Code
    CBK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING SERVICE OF DEVICE A NO CYCLE, WITH CONSTANT SINGLE TONE ALARM WAS FOUND, DUE TO INTEGRATED CIRCUIT U09, U24, U28 ON THE LOGIC BOARD BEING OUT OF SPECIFICATION. REPLACED U09, U24, AND U28.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LP10 VOLUME VENTILATOR VOLUME VENTILATOR CBK NELLCOR PURITAN BENNETT LP10 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other