FDA Adverse Event
Malfunction
Summary report: N
LP10 VOLUME VENTILATOR
MDR report key: 209400
·
Received February 5, 1999
Report
- Report Number
- 2183157-1999-00040
- Event Type
- Malfunction
- Date Received
- February 5, 1999
- Date of Event
- January 27, 1999
- Report Date
- February 5, 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 SERVICE THE UNIT WAS FOUND TO STOP CYCLE WITH ALL LEDS AND CONSTANT SINGLE TONE ALARM, DUE TO INTEGRATED CIRCUIT U28, U27, U9, U24, U25, U26, U1 ON THE LOGIC BOARD BEING OUT OF SPECIFICATION. ALSO FOUND WAS A MOTOR STALL WITH LOW PRESSURE ALARM, DUE TO INTEGRATED CIRCUIT U10 ON THE MOTOR BOARD BEING OUT OF SPECIFICATION. REPLACED U28, U27, U9, U24, U25, U26, U1, U10.
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 |