FDA Adverse Event
Malfunction
Summary report: N
VIASYS
MDR report key: 3250776
·
Received May 2, 2013
Report
- Report Number
- 3250776
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Date of Event
- April 22, 2013
- Report Date
- May 2, 2013
- Manufacturer
- CAREFUSION 207, INC DBA CAREFUSION
- Product Code
- LSZ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A CIRCUIT ON THE HIGH FREQUENCY VENTILATOR FAILED CALIBRATION TEST DUE TO "BAD DIAPHRAGM ON CIRCUIT".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 193797 | VIASYS | VENTILATOR, HIGH FREQUENCY | LSZ | CAREFUSION 207, INC DBA CAREFUSION | 3100A | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |