FDA Adverse Event
Malfunction
Summary report: N
HT70 PLUS VENTILATOR
MDR report key: 2941326
·
Received January 31, 2013
Report
- Report Number
- 2023050-2013-00074
- Event Type
- Malfunction
- Date Received
- January 31, 2013
- Date of Event
- November 16, 2012
- Report Date
- January 16, 2013
- Manufacturer
- NEWPORT MEDICAL INSTRUMENTS, INC.
- Product Code
- CBK
- PMA / PMN Number
- K111146
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
REPORTEDLY, DURING TESTING, THE OXYGEN PERCENTAGES WERE OBSERVED TO BE DRIFTING. CALIBRATION OF THE OXYGEN SENSOR DID NOT SOLVE THIS ISSUE. HOWEVER, REPLACING THE SENSOR RESOLVED IT. THERE WAS NO PT INVOLVEMENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 42711 | HT70 PLUS VENTILATOR | CBK, NOU | CBK | NEWPORT MEDICAL INSTRUMENTS, INC. | HT70PM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |