BEUDAMED
    FDA Adverse Event Death Summary report: N

    ESPIRIT

    MDR report key: 3960714 · Received July 23, 2014

    Report

    Report Number
    MW5037413
    Event Type
    Death
    Date Received
    July 23, 2014
    Date of Event
    July 20, 2014
    Report Date
    July 22, 2014
    Manufacturer
    PHILIPS RESPIRONICS
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    VENTILATOR REGISTERED AS VENT INOP AND SHUT DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    429833 ESPIRIT VENTILATOR CBK PHILIPS RESPIRONICS

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Death RESPIRONICS REF 1038401| AMERIVAC BREATHING BACTERIA FILTER LOT 050914MB| KIMBERLY-CLARK KIM VENT CLOSED SUCTION SYSTEM| REF 001793| COVIDIEN TRACH SHILEY 6DCT LOT 13F0648JZX| CAREFUSION AIRLIFE VOLUME VENTILATOR CIRCUIT| REF 221038