FDA Adverse Event
Malfunction
Summary report: N
VELA VENTILATOR
MDR report key: 6012553
·
Received October 7, 2016
Report
- Report Number
- 2021710-2016-04592
- Event Type
- Malfunction
- Date Received
- October 7, 2016
- Date of Event
- September 7, 2016
- Report Date
- September 7, 2016
- Manufacturer
- CAREFUSION, INC
- Product Code
- CBK
- PMA / PMN Number
- K093094
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
(B)(4). DEVICE EVALUATION: THE CAREFUSION FIELD SERVICE REPRESENTATIVE (FSR) EVALUATED THE SUSPECT DEVICE. THE FSR CLEAN THE TOUCHSCREEN AND THE SURROUNDING FRAME. THE FSR RAN THE USER VERIFICATION TEST (UVT) AND CHECKED THE OPERATION OF THE DEVICE TO ENSURE IT IS WITHIN MANUFACTURER SPECIFICATION. NO PARTS WERE REPLACED AS THE DEVICE WORKED PROPERLY AFTER CLEANING.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE TOUCHSCREEN WAS NOT WORKING ON THEIR VELA VENTILATOR. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 663645 | VELA VENTILATOR | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | CAREFUSION, INC | VELA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |