BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PURITAN BENNETT

    MDR report key: 516099 · Received March 2, 2004

    Report

    Report Number
    MW1031407
    Event Type
    Injury
    Date Received
    March 2, 2004
    Date of Event
    February 21, 2004
    Report Date
    March 2, 2004
    Manufacturer
    MEDIQ PRN
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    VENTILATOR ALARMING ERROR CODE. PANEL READING ER 99808. VENTILATOR CHANGED WITH NO ILL EFFECTS TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PURITAN BENNETT VENTILATOR CBK MEDIQ PRN 7200AE *

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention