FDA Adverse Event
Malfunction
Summary report: N
DRAGER EVITA INFINITY V500
MDR report key: 2992816
·
Received February 10, 2013
Report
- Report Number
- 2992816
- Event Type
- Malfunction
- Date Received
- February 10, 2013
- Date of Event
- January 5, 2013
- Report Date
- February 9, 2013
- Manufacturer
- DRAGER MEDICAL INC
- Product Code
- CBK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 57998 | DRAGER EVITA INFINITY V500 | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | DRAGER MEDICAL INC | EVITAINFINITYV500 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR |