FDA Adverse Event
Malfunction
Summary report: N
SPACELABS ARKON ANESTHESIA WORKSTATION
MDR report key: 5091219
·
Received September 21, 2015
Report
- Report Number
- 9611295-2015-00025
- Event Type
- Malfunction
- Date Received
- September 21, 2015
- Date of Event
- June 1, 2015
- Report Date
- June 2, 2020
- Manufacturer
- SPACELABS HEALTHCARE LTD.
- Product Code
- CBK
- PMA / PMN Number
- K113051
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 624136 | SPACELABS ARKON ANESTHESIA WORKSTATION | ANESTHESIA WORKSTATION WITH CONTINUOUS VENTILATOR | CBK | SPACELABS HEALTHCARE LTD. | 99999 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |