FDA Adverse Event Malfunction Summary report: N

HT70 VENTILATOR

MDR report key: 3060898 · Received April 10, 2013

Report

Report Number
2023050-2013-00308
Event Type
Malfunction
Date Received
April 10, 2013
Date of Event
March 15, 2013
Report Date
March 22, 2013
Manufacturer
NEWPORT MEDICAL INSTRUMENTS, INC.
Product Code
CBK
PMA / PMN Number
K090888
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING TESTING, A "BACKUP BATTERY LOW" ALARM OCCURRED WHEN THE POWER PAC BATTERY WAS REMOVED. SOON AFTER, REPORTEDLY, THE VENTILATOR SHUTDOWN. REPLACING THE INTERNAL BATTERY RESOLVED THE ISSUE. THERE WAS NO PT INVOLVEMENT IN THIS CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
153561 HT70 VENTILATOR CBK, NOU CBK NEWPORT MEDICAL INSTRUMENTS, INC. HT70

Patients

Seq Age Sex Outcome Treatment
1