BEUDAMED
    FDA Adverse Event Other Summary report: N

    BUNNELL

    MDR report key: 168086 · Received May 11, 1998

    Report

    Report Number
    MW1013832
    Event Type
    Other
    Date Received
    May 11, 1998
    Date of Event
    January 16, 1997
    Report Date
    January 17, 1997
    Manufacturer
    BUNNELL, INC.
    Product Code
    LSZ
    Report Source
    Voluntary report
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    HIGH FREQUENCY JET VENTILATOR CEASED TO FUNCTION PROPERLY. PT WAS PLACED ON CONVENTIONAL MECHANICAL VENTILATOR WHILE MFR WAS CONTACTED FOR ASSISTANCE. MFR CONFIRMED JET VENTILATOR WAS PROBABLY FAULTY; ARRANGED REPLACEMENT AND ISSUED INSTRUCTIONS & AUTHORIZATION FOR RETURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BUNNELL LIFE PULSE HIGH FREQUENCY JET VENTILATOR LSZ BUNNELL, INC. CD-185-17 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Other