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