BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HIGH FREQUENCY JET VENT

    MDR report key: 18046 · Received November 30, 1994

    Report

    Report Number
    MW1004201
    Event Type
    Injury
    Date Received
    November 30, 1994
    Date of Event
    January 12, 1994
    Manufacturer
    BUNNELL, INC.
    Product Code
    CBK
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HIGH FREQUENCY JET VENTILATOR ALARMED FOR LOW PIP. ADJUSTMENTS WERE MADE BUT PIP WAS UNABLE TO BE MET. IT WAS DETERMINED THE PT BOX WAS FAULTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIGH FREQUENCY JET VENT HIGH FREQUENCY JET VENT CBK BUNNELL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 4 DAY Required Intervention