FDA Adverse Event
Malfunction
Summary report: N
HT70 PLUS VENTILATOR
MDR report key: 3102610
·
Received May 1, 2013
Report
- Report Number
- 2023050-2013-00354
- Event Type
- Malfunction
- Date Received
- May 1, 2013
- Date of Event
- March 29, 2013
- Report Date
- April 9, 2013
- Manufacturer
- NEWPORT MEDICAL INSTRUMENTS, INC.
- Product Code
- CBK
- PMA / PMN Number
- K111146
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
REPORTEDLY, DURING TESTING, THE TOUCH SCREEN DID NOT WORK AND VENTILATION COULD NOT BE STARTED. THE DISTRIBUTOR REPLACED THE SINGLE BOARD COMPUTER AND THE TOUCH SCREEN AND THE VENTILATOR WORKED NORMALLY. THERE WAS NO PATIENT INVOLVEMENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190673 | HT70 PLUS VENTILATOR | CBK, NOU | CBK | NEWPORT MEDICAL INSTRUMENTS, INC. | HT70PM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |