BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFE PULSE PATIENT BREATHING CIRCUIT

    MDR report key: 235783 · Received August 4, 1999

    Report

    Report Number
    1719232-1999-00008
    Event Type
    Other
    Date Received
    August 4, 1999
    Report Date
    August 4, 1999
    Manufacturer
    BUNNELL, INC.
    Product Code
    LSZ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    USER REPORTED OVERFILL OF THE HUMIDIFIER CIRCUIT. WATER ENTERED THE PT LINE, AND WAS DELIVERED TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE PULSE PATIENT BREATHING CIRCUIT VENTILATOR ACCESSORY LSZ BUNNELL, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN