BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIEMANS SERVO 900C

    MDR report key: 240311 · Received September 13, 1999

    Report

    Report Number
    MW1017158
    Event Type
    Malfunction
    Date Received
    September 13, 1999
    Date of Event
    September 9, 1999
    Report Date
    September 13, 1999
    Manufacturer
    SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL DIV.
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    AS PART OF THE HOSP'S Y2K CONTINGENCY PLAN, FACILITY TESTED MECHANICAL VENTILATORS AFTER MIDNIGHT ON 9/9/99. THE VENTILATOR(S) WERE ATTACHED TO MEDICAL GASES AND ELECTRICAL POWER. THEY WERE TURNED ON. THERE WAS NO ELECTRICAL POWER. THE ON/OFF SWITCH WAS RECHECKED; IT WAS IN THE ON POSITION. THE ELECTRICAL OUTLET ITSELF WAS CHECKED; A BED PLUGGED INTO THE SAME SET OF OUTLETS WAS WORKING FINE. ANOTHER VENTILATOR WAS CHECKED IN THE SAME OUTLET (DIFFERENT MODEL) AND IT HAD POWER. FACILITY RECHECKED THE VENTILATOR(S) AFTER 0100 AND THEY WERE ONCE AGAIN FUNCTIONING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMANS SERVO 900C MECHANICAL VENTILATOR CBK SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL DIV. E 347 E SV 900 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *