BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LP10 VOLUME VENTILATOR

    MDR report key: 233579 · Received July 22, 1999

    Report

    Report Number
    2183157-1999-00150
    Event Type
    Malfunction
    Date Received
    July 22, 1999
    Date of Event
    June 22, 1999
    Report Date
    July 22, 1999
    Manufacturer
    NELLCOR PURITAN BENNETT
    Product Code
    CBK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    NELLCOR PURITAN BENNETT RECEIVED A CALL FROM A REPRESENTATIVE OF HOSPITAL ON 6/22/1999. HOSPITAL CALLED TO REPORT THE FOLLOWING PROBLEM: MOTOR STALL ON BATTERY POWER.

    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