FDA Adverse Event
Malfunction
Summary report: N
E360 VENTILATOR
MDR report key: 3020956
·
Received March 19, 2013
Report
- Report Number
- 2023050-2013-00204
- Event Type
- Malfunction
- Date Received
- March 19, 2013
- Date of Event
- February 7, 2013
- Report Date
- February 26, 2013
- Manufacturer
- NEWPORT MEDICAL INSTRUMENTS, INC.
- Product Code
- CBK
- PMA / PMN Number
- K053502
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING TESTING, 'HIGH FIO2' AND 'O2 SENSOR ERROR' ALARMS OCCURRED. CALIBRATING THE O2 SENSOR COULD NOT SOLVE THE ISSUE. THIS ISSUE WAS RESOLVED BY REPLACING THE O2 SENSOR. THERE WAS NO PT INVOLVEMENT IN THIS CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 113456 | E360 VENTILATOR | CBK | NEWPORT MEDICAL INSTRUMENTS, INC. | E360 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |