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 |