FDA Adverse Event Malfunction Summary report: N

840 VENTILATOR

MDR report key: 3210166 · Received July 3, 2013

Report

Report Number
8020893-2013-01517
Event Type
Malfunction
Date Received
July 3, 2013
Date of Event
January 1, 2013
Report Date
June 7, 2013
Manufacturer
COVIDIEN
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT AN 840 VENTILATOR HAD AN ERRATIC GUI DISPLAY. THERE WAS NO PATIENT INVOLVEMENT. THE COVIDIEN CUSTOMER SUPPORT ENGINEER (CSE) INSPECTED THE DEVICE. THE CSE UPGRADED THE GRAPHICAL USER INTERFACE (GUI) DISPLAY FROM 9.4 TO 10.4. THE UNIT PASSED EXTENDED SELF-TESTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
305085 840 VENTILATOR VENTILATOR CBK COVIDIEN 840

Patients

Seq Age Sex Outcome Treatment
1