BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIEMENS

    MDR report key: 279290 · Received May 19, 2000

    Report

    Report Number
    MW1018987
    Event Type
    Injury
    Date Received
    May 19, 2000
    Date of Event
    May 15, 2000
    Report Date
    May 17, 2000
    Manufacturer
    SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL DIVISION
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INFANT ON VENTILATOR FOR RESPIRATORY DISTRESS. VENTILATOR DEVELOPED LEAK. PEEP DROPPED. SATS DROPPED FROM 93 TO 89. BABY BAGGED AND VENTILATOR CHANGED. DR REPORTS NO ADVERSE OUTCOME TO BABY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMENS SERVO VENT CBK SIEMENS MEDICAL SYSTEMS, INC. ELECTROMEDICAL DIVISION SERVO S-300 *

    Patients

    Seq Age Sex Outcome Treatment
    1 6 DAY Required Intervention