BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ADULT STAR

    MDR report key: 147610 · Received February 6, 1998

    Report

    Report Number
    MW1012930
    Event Type
    Injury
    Date Received
    February 6, 1998
    Date of Event
    January 23, 1998
    Report Date
    January 30, 1998
    Manufacturer
    NELLCOR PURITAN BENNETT
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RN NOTED O2 SATS HAD DROPPED TO 87%. FINGER PROBE ON PULSE OX ADJUSTED, NO CHANGE IN O2 SAT NOTED. RN THEN BECAME AWARE THAT THE VENTILATOR WAS NOT CYCLING, BUT INSTEAD WAS "JUST MAKING A HUMMING SOUND". THEN NOTED BLANK SCREEN ON VENTILATOR. PT WAS MANUALLY VENTILATED, O2 SATS INCREASED TO 98% WITHIN SECONDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADULT STAR VENTILATOR CBK NELLCOR PURITAN BENNETT 2000/1500 *

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Required Intervention