BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LP10 VOLUME VENTILATOR

    MDR report key: 250769 · Received November 12, 1999

    Report

    Report Number
    2183157-1999-00264
    Event Type
    Malfunction
    Date Received
    November 12, 1999
    Date of Event
    October 14, 1999
    Report Date
    November 10, 1999
    Manufacturer
    NELLCOR PURITAN BENNETT, INC.
    Product Code
    CBK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    NELLCOR PURITAN BENNETT RECEIVED A NOTE FROM A REPRESENTATIVE FACILITY ON 10/14/1999. FACILITY CALLED TO REPORT THE FOLLOWING PROBLEM: DOES NOT HAVE FLOW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LP10 VOLUME VENTILATOR VOLUME VENTILATOR CBK NELLCOR PURITAN BENNETT, INC. LP10 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other