BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DRAEGER

    MDR report key: 6793991 · Received August 11, 2017

    Report

    Report Number
    MW5071561
    Event Type
    Injury
    Date Received
    August 11, 2017
    Date of Event
    July 31, 2017
    Report Date
    August 11, 2017
    Manufacturer
    DRAEGER, INC.
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    VENTILATOR SHUTDOWN WHILE ATTACHED TO PATIENT. PATIENT WAS DISCONNECTED AND O2 DELIVERED PER AMBU BAG UNTIL ANOTHER VENTILATOR WAS SET UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    569837 DRAEGER VENTILATOR CBK DRAEGER, INC. 500

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Life Threatening