BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIEMENS

    MDR report key: 203421 · Received December 22, 1998

    Report

    Report Number
    MW1015277
    Event Type
    Malfunction
    Date Received
    December 22, 1998
    Date of Event
    October 14, 1998
    Report Date
    December 18, 1998
    Manufacturer
    SIEMENS MEDICAL SYSTEMS INC. ELECTROMEDICAL DIVISION
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    VENTILATOR STOPPED CYCLING WHILE ON PT AFTER 40 MINS OF USE. BIOMED CALLED AND PULLED EQUIPMENT. NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMENS VENTILATOR CBK SIEMENS MEDICAL SYSTEMS INC. ELECTROMEDICAL DIVISION SV900C *

    Patients

    Seq Age Sex Outcome Treatment
    1 6 MO Other