FDA Adverse Event
Malfunction
Summary report: N
NARKOMED
MDR report key: 5067483
·
Received September 10, 2015
Report
- Report Number
- 2510954-2015-00004
- Event Type
- Malfunction
- Date Received
- September 10, 2015
- Date of Event
- August 11, 2015
- Report Date
- August 12, 2015
- Manufacturer
- DRAEGER MEDICAL, INC.
- Product Code
- CBK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS EVALUATED BY A DRÄGER SERVICE TECHNICIAN. PART OF THE EVALUATION INVOLVED REVIEWING THE LOG FILES WHICH CONTAINED AN ENTRY INDICATING A POWER SUPPLY SHUT DOWN. THE TECHNICIAN REPLACED THE POWER SUPPLY. THE POWER SUPPLY WAS EVALUATED BY D...
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A CASE, THE DEVICE DISPLAY WENT BLANK AND THE MACHINE SHUT DOWN. THE MACHINE WAS SWAPPED OUT AND THERE WAS NO PATIENT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 600081 | NARKOMED | ANESTHESIA MACHINE | CBK | DRAEGER MEDICAL, INC. | 6400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |