BEUDAMED
    FDA Adverse Event Other Summary report: N

    DRAGER E-4 VENTILATOR

    MDR report key: 509722 · Received February 4, 2004

    Report

    Report Number
    509722
    Event Type
    Other
    Date Received
    February 4, 2004
    Date of Event
    August 1, 2003
    Report Date
    November 1, 2003
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE VENTILATOR SETTINGS WERE CHANGED WITHOUT MANIPULATION BY STAFF. IT WAS CONNECTED TO A PT BUT THE VENTILATOR WAS CHANGED WITHOUT INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRAGER E-4 VENTILATOR VENTILATOR CBK DRAEGER MEDICAL, INC. DRAGER E-4 *

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Other