BEUDAMED
    FDA Adverse Event Death Summary report: N

    PLV 100

    MDR report key: 248909 · Received October 28, 1999

    Report

    Report Number
    248909
    Event Type
    Death
    Date Received
    October 28, 1999
    Date of Event
    August 8, 1999
    Manufacturer
    PLV
    Product Code
    CBK
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT FOUND DISCONNECTED FROM VENT. LOW PRESSURE ALARM DID NOT SOUND. DESCRIPITON OF DISCONNECTION: THE INNER CANNULA WAS PARTIALLY DISLODGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLV 100 HOME CARE VENTILATOR CBK PLV 100 *

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Death