BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIP BIRD

    MDR report key: 42852 · Received September 27, 1996

    Report

    Report Number
    2021710-1996-00003
    Event Type
    Malfunction
    Date Received
    September 27, 1996
    Date of Event
    August 28, 1996
    Report Date
    August 28, 1996
    Manufacturer
    BIRD PRODUCTS CORP.
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    THIS UNIT STOPPED WITH NO ALARM WHILE VENTING A PT. AFTER REBOOTING, THE UNIT IS WORKING FINE. THE COMPLAINANT REMOVED THIS UNIT FROM SERVICE AND ROUTED THIS UNIT TO THE MFR FOR INVESTIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VIP BIRD PEDIATRIC VENTILATOR CBK BIRD PRODUCTS CORP. 15215 KFJ02407

    Patients

    Seq Age Sex Outcome Treatment
    1 *