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