BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    840 VENTILATOR

    MDR report key: 3023163 · Received February 27, 2013

    Report

    Report Number
    8020893-2013-00474
    Event Type
    Malfunction
    Date Received
    February 27, 2013
    Date of Event
    January 17, 2013
    Report Date
    January 29, 2013
    Manufacturer
    COVIDIEN, FORMERLY NELLCO
    Product Code
    CBK
    PMA / PMN Number
    K970460
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE SVC REPORT SHOWS THE CUSTOMER REPORTED THAT THE 840 VENTILATOR WAS INOPERABLE. THE CUSTOMER REPORTED TO HAVE REPLACED THE GRAPHICAL USER INTERFACE (GUI) PCB. COVIDIEN WAS ONLY AUTHORIZED TO UPLOAD THE SOFTWARE. THE VENT PASSED ALL TESTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    84769 840 VENTILATOR VENTILATOR CBK COVIDIEN, FORMERLY NELLCO 840

    Patients

    Seq Age Sex Outcome Treatment
    1