BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESPIRONICS

    MDR report key: 4080816 · Received September 5, 2014

    Report

    Report Number
    MW5038121
    Event Type
    Malfunction
    Date Received
    September 5, 2014
    Date of Event
    August 28, 2014
    Report Date
    September 5, 2014
    Manufacturer
    PHILLIPSA
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    VENTILATOR SHUT DOWN. NO WARNING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    543362 RESPIRONICS ESPRIT VENTILATOR CBK PHILLIPSA 989805611721

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR