BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PURITAN BENNETT VENTILATOR

    MDR report key: 1891119 · Received November 1, 2010

    Report

    Report Number
    MW5017994
    Event Type
    Malfunction
    Date Received
    November 1, 2010
    Date of Event
    October 18, 2010
    Report Date
    October 28, 2010
    Manufacturer
    PURITAN BENNETT
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VENTILATOR REPORTED TO "SHUT DOWN" WHEN IT WAS ON A PATIENT. TECH REMOVED VENTILATOR AND TAGGED UNIT TO BE CHECKED/REPAIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PURITAN BENNETT VENTILATOR NONE CBK PURITAN BENNETT 840

    Patients

    Seq Age Sex Outcome Treatment
    1