FDA Adverse Event Malfunction Summary report: N

LTV

MDR report key: 3250617 · Received July 26, 2013

Report

Report Number
2031702-2013-00161
Event Type
Malfunction
Date Received
July 26, 2013
Report Date
July 26, 2013
Manufacturer
CAREFUSION 203, INC
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
SERVICE AND TESTING PERSONNEL

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE VENTILATOR HAD NO AIR FLOW FROM THE TURBINE DURING A BENCH TEST. THE TECH COULD HEAR HIGH PITCHED WHINING NOISE. THIS PROBLEM WAS NEVER REPORTED BY THE USER/PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
350453 LTV VENTILATOR, CONTINUOUS CBK CAREFUSION 203, INC LTV 1150

Patients

Seq Age Sex Outcome Treatment
1