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 |