BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIRD 6400ST

    MDR report key: 50914 · Received July 9, 1996

    Report

    Report Number
    50914
    Event Type
    Injury
    Date Received
    July 9, 1996
    Date of Event
    May 20, 1996
    Report Date
    May 23, 1996
    Manufacturer
    BIRD PRODUCTS CORP.
    Product Code
    CBK
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VENTILATOR ALARMED AND THEN DISPLAYED INOPERATIVE READING. PT BAGGED AND 100% O2 SATURATION MAINTAINED. VENTILATOR EVALUATED AND FOUND TO HAVE DIAPHRAM AND EXHALATION VALVE STICKING. PROBLEM CORRECTED, VENTILATOR REINSTATED. NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIRD 6400ST VENTILATOR CBK BIRD PRODUCTS CORP. 6400ST(9611) *

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Life Threatening| R