FDA Adverse Event Malfunction Summary report: N

LP10 VOLUME VENTILATOR

MDR report key: 207082 · Received January 13, 1999

Report

Report Number
2183157-1999-00013
Event Type
Malfunction
Date Received
January 13, 1999
Date of Event
December 17, 1998
Report Date
January 12, 1999
Manufacturer
NELLCOR PURITAN BENNETT
Product Code
CBK
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING SVC, THE UNIT WAS FOUND TO STOP CYCLE WITH ALL LEDS AND A CONSTANT SINGLE TONE AUDIBLE ALARM, DUE TO INTEGRATED CIRCUIT U28 ON THE LOGIC BOARD BEING OUT OF SPECIFICATIONS. REPLACED U28.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LP10 VOLUME VENTILATOR VOLUME VENTILATOR CBK NELLCOR PURITAN BENNETT LP10 NA

Patients

Seq Age Sex Outcome Treatment
1 * Other