FDA Adverse Event
Malfunction
Summary report: N
KION
MDR report key: 300615
·
Received October 13, 2000
Report
- Report Number
- 8010042-2000-00147
- Event Type
- Malfunction
- Date Received
- October 13, 2000
- Report Date
- September 29, 2000
- Manufacturer
- SIEMENS ELEMA AB / LIFE SUPPORT SYSTEMS DIVISION
- Product Code
- BSZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
SAFETY VALVE SV1 180 KPK SPORADICALLY OPEN WITH A FRESH GAS FLOW OF 0.5 LITERS FOR THEREAFTER OPEN COMPLETELY WITH A FRESH GAS FLOW OF 1 LITERS FOLLOWED BY BANGING NOISE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KION | ANESTHESIA SYSTEM | BSZ | SIEMENS ELEMA AB / LIFE SUPPORT SYSTEMS DIVISION | KION | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |