FDA Adverse Event
Injury
Summary report: N
BEAR
MDR report key: 208850
·
Received February 8, 1999
Report
- Report Number
- 2022747-1999-00009
- Event Type
- Injury
- Date Received
- February 8, 1999
- Date of Event
- December 16, 1998
- Report Date
- February 5, 1999
- Manufacturer
- BEAR MEDICAL SYSTEMS
- Product Code
- CBK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
WHILE ON PT, WITH 2 RN'S AND A RT AT BEDSIDE, THE VENTILATOR STOPPED WORKING AND STAFF NOTICED A "FIRE" SMELL FROM THE VENTILATOR. THE PT WAS IMMEDIATELY MANUALLY VENTILATED AND REMOVED FROM ROOM. PT REMAINED STABLE THROUGH OUT INCIDENT. NO PT COMPROMISE NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BEAR | VOLUME VENTILATOR | CBK | BEAR MEDICAL SYSTEMS | BEAR 3 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |