FDA Adverse Event Malfunction Summary report: N

7200AE MICROPROCESSOR VENTILATOR

MDR report key: 323529 · Received March 29, 2001

Report

Report Number
2024500-2001-00025
Event Type
Malfunction
Date Received
March 29, 2001
Date of Event
May 6, 1999
Report Date
March 27, 2001
Manufacturer
NELLCOR PURITAN BENNETT
Product Code
CBK
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

FAX REPORT FROM FACILITY STATES, "VENTILATOR AUDIBLE ALARM WAS NOT WORKING. PT WAS CHANGED TO ANOTHER VENT. (ACCORDING TO FAMILY... THE 'MACHINE HAS BEEN VERY QUIET LATELY.')" AN ADDITIONAL FAX REPORT STATED, "VENTILATOR WAS CHANGED OUT WITHOUT COMPLICATIONS TO THE PT. THE VENTILATOR WORKED NORMALLY, EXCEPT FOR THE AUDIBLE ALARMS. VISUAL ALARMS WORKED PROPERLY." PER RISK MANAGEMENT, PT'S VITALS DID NOT CHANGE. IT IS DETERMINED WHAT ALARM PARAMETER WAS BELIEVED TO HAVE BEEN VIOLATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
13861 7200AE MICROPROCESSOR VENTILATOR VOLUME VENTILATOR CBK NELLCOR PURITAN BENNETT 7200AE NA

Patients

Seq Age Sex Outcome Treatment
1 53 YR