FDA Adverse Event Malfunction Summary report: N

CAREFUSION

MDR report key: 5108806 · Received September 28, 2015

Report

Report Number
2021710-2015-01798
Event Type
Malfunction
Date Received
September 28, 2015
Date of Event
September 1, 2015
Report Date
September 1, 2015
Manufacturer
CAREFUSION
Product Code
CBK
PMA / PMN Number
K032451
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CAREFUSION DISPATCHED A CAREFUSION FIELD SERVICE REPRESENTATIVE TO THE USER FACILITY TO EVALUATE AND REPAIR THE DEVICE. THE CAREFUSION FIELD SERVICE REPRESENTATIVE HAS NOT COMPLETED THE EVALUATION OF THE DEVICE AS OF (B)(6) 2015. ONCE THE EVALUATION AND REPAIR OF THE DEVICE HAS BEEN COMPLETED CAREFUSION WILL SUBMIT A FOLLOW-UP MEDWATCH REPORT.

Additional Manufacturer Narrative · 1

CAREFUSION FIELD SERVICE REPRESENTATIVE WAS UNABLE TO DUPLICATE THE CUSTOMER'S REPORTED ISSUE. THE UNIT PASSED ALL TESTING AND MET ALL CAREFUSION MANUFACTURER SPECIFICATIONS.

Description of Event or Problem · 1

THE USER FACILITY REPRESENTATIVE REPORTED THAT THE DEVICE HAS A CONSTANT AUDIBLE ALARM WITH NO VISUAL ALARM INDICATION AND THAT THE DEVICE'S TOUCH SCREEN IS UNRESPONSIVE TO TOUCH. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
638545 CAREFUSION VENTILATOR, CONTINUOUS, FACILITY USE CBK CAREFUSION VELA

Patients

Seq Age Sex Outcome Treatment
1