BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFE PULSE PATIENT BREATHING CIRCUIT

    MDR report key: 235786 · Received August 4, 1999

    Report

    Report Number
    1719232-1999-00007
    Event Type
    Other
    Date Received
    August 4, 1999
    Date of Event
    July 26, 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
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    USER REPORTED OVERFILL OF THE HUMIDIFIER CIRCUIT. WATER ENTERED THE PT LINE, BUT THE LINE WAS DISCONNECTED BEFORE WATER COULD REACH 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