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 |