BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    700 SERIES VENTILATOR

    MDR report key: 417791 · Received September 10, 2002

    Report

    Report Number
    8020893-2002-00218
    Event Type
    Malfunction
    Date Received
    September 10, 2002
    Date of Event
    August 20, 2002
    Report Date
    September 3, 2002
    Manufacturer
    NELLCOR PURITAN BENNETT IRE.
    Product Code
    CBK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE IN PT USE, THE 760 VENTILATOR ENTERED INTO A VENTILATOR INOPERATIVE STATE. THERE WAS NO ADVERSE CLINICAL EFFECT TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 700 SERIES VENTILATOR VOLUME MECHANICAL VENTILATOR CBK NELLCOR PURITAN BENNETT IRE. 760 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN