BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2820215 · Received October 9, 2012

    Report

    Report Number
    2820215
    Event Type
    Malfunction
    Date Received
    October 9, 2012
    Date of Event
    October 3, 2012
    Report Date
    October 9, 2012
    Manufacturer
    NEWPORT MEDICAL INSTRUMENTS
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * VENTILATOR CBK NEWPORT MEDICAL INSTRUMENTS E-500 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *