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 |