FDA Adverse Event
Malfunction
Summary report: N
SERVO-AIR LITE
MDR report key: 21729768
·
Received March 31, 2025
Report
- Report Number
- 8010042-2025-0000499
- Event Type
- Malfunction
- Date Received
- March 31, 2025
- Report Date
- March 31, 2025
- Manufacturer
- MAQUET CRITICAL CARE AB
- Product Code
- MNT
- UDI-DI
- 07325710015117
- PMA / PMN Number
- K230173
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION DETERMINED THAT THIS COMPLAINT IS A DUPLICATE OF REPORT WITH MFG REPORT NUMBER: 8010042-2025-0000357. THEREFORE, FOR EVALUATION RESULTS AND MANUFACTURE¿S NARRATIVE PLEASE REFER TO THIS REPORT.
Description of Event or Problem · 0
MANUFACTURER'S REF #: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE VENTILATOR HAD A TURBINE FAILURE. THERE WAS NO PATIENT HARM. MANUFACTURER'S REF. #: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 912270 | SERVO-AIR LITE | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE | MNT | MAQUET CRITICAL CARE AB | 6893200 | 07325710015117 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |