FDA Adverse Event Malfunction Summary report: N

NEWPORT E500 VENTILATOR

MDR report key: 559855 · Received May 11, 2004

Report

Report Number
2023050-2004-00008
Event Type
Malfunction
Date Received
May 11, 2004
Date of Event
March 14, 2004
Report Date
May 10, 2004
Manufacturer
NEWPORT MEDICAL INSTRUMENTS
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

E500 WITH GDM AFTER NORMAL WORKING IN VC SIMV MODE VENTILATOR STOPPED GIVING BREATHS, GAS HAS GONE THRU THE EMERGENCY AIR INTAKE. THERE WAS NOT ANY ALARM. AFTER TURNING THE DEVICE OFF AND ON THE DEVICE WORKS NORMALLY BUT THE TRIGGER KNOB DOESN'T WORK PROPERLY, THERE IS NOT ANY RELATION WHEN ROTATING THE KNOB AND BECAUSE OF THAT THERE IS NO POSSIBILITY TO PERFORM TEST PROCEDURES IN SETUP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEWPORT E500 VENTILATOR VENTILATOR CBK NEWPORT MEDICAL INSTRUMENTS COMPLETE UNIT *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN