BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SERVO VENTILATOR 300A

    MDR report key: 307876 · Received December 6, 2000

    Report

    Report Number
    8010042-2000-00208
    Event Type
    Malfunction
    Date Received
    December 6, 2000
    Date of Event
    October 26, 2000
    Report Date
    October 26, 2000
    Manufacturer
    SIEMENS-ELEMA AB LIFE SUPPORT SYSTEMS DIVISION
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TECHNICAL ERROR CODE "PTF"AND "PF" WHEN TRYING TO SET UP ON PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SERVO VENTILATOR 300A VENTILATOR CBK SIEMENS-ELEMA AB LIFE SUPPORT SYSTEMS DIVISION SERVO VENTILATOR 300A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention