BEUDAMED
    FDA Adverse Event Summary report: N

    760

    MDR report key: 2142233 · Received June 22, 2011

    Report

    Report Number
    2142233
    Date Received
    June 22, 2011
    Date of Event
    August 21, 2006
    Report Date
    August 25, 2006
    Manufacturer
    COVIDIEN PURITAN BENNETT
    Product Code
    CBK
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT TRANSPORTED FROM OR TO RESPIRATORY AT 1402. EVENT OCCURRED AT 1735 WHILE THE PATIENT WAS BEING SUCTIONED. PATIENT EXCEEDED HIGH PRESSURE LIMIT DUE TO COUGHING. VENTILATOR THEN SHUT OFF AND RE-STARTED. IT HAPPENED 2-4 TIMES IN BETWEEN EVENTS. LAST EVENT THE MACHINE MONITOR STATED TO RE-PERFORM EXTENDED SELF TEST (EST) AFTER ABNORMAL RE-START. VENTILATOR REPLACED WITH NEW VENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 760 VENTILATOR CBK COVIDIEN PURITAN BENNETT 760 *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR