FDA Adverse Event Malfunction Summary report: N

LTV

MDR report key: 3771212 · Received April 24, 2014

Report

Report Number
2031702-2014-00106
Event Type
Malfunction
Date Received
April 24, 2014
Report Date
April 24, 2014
Manufacturer
CAREFUSION 203, INC
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
RESPIRATORY THERAPIST

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE VENTILATOR HAD NO TURBINE OPERATION. IT IS UNKNOWN IF THE VENTILATOR ALARMED OR IF IT WAS CONNECTED TO A PATIENT WHEN THE REPORTED PROBLEM OCCURRED. THE RESPIRATORY THERAPIST HAD REPORTED THAT THE VENTILATOR WAS PICKED UP FROM THE PATIENT'S HOME BECAUSE IT WAS GETTING VERY HOT TO THE TOUCH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249699 LTV VENTILATOR, CONTINUOUS CBK CAREFUSION 203, INC LTV 1150

Patients

Seq Age Sex Outcome Treatment
1