BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SERVO VENTILATOR 900 C

    MDR report key: 39665 · Received September 5, 1996

    Report

    Report Number
    8010042-1996-00006
    Event Type
    Malfunction
    Date Received
    September 5, 1996
    Date of Event
    August 6, 1996
    Report Date
    September 5, 1996
    Manufacturer
    SIEMENS-ELEMA AB
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE VENTILATOR STOPPED CYCLING AFTER 5 BREATHS. THE MINUTE VOLUME DISPLAY PEGGED TO 40 L/M.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SERVO VENTILATOR 900 C VENTILATOR CBK SIEMENS-ELEMA AB SV900C NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention