BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIEMENS 300

    MDR report key: 709801 · Received April 21, 2006

    Report

    Report Number
    MW1038824
    Event Type
    Injury
    Date Received
    April 21, 2006
    Date of Event
    January 18, 2006
    Report Date
    April 21, 2006
    Manufacturer
    MAQUET, INC
    Product Code
    CBK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NURSE NOTED VENTILATOR HAD STOPPED. THE VENT. ALARM DID NOT SOUND. PULSE OX. HAD DROPPED AND ALARMED AND THE PT HAD TO BE BAGGED WHILE THE VENT WAS SWITCHED OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMENS 300 VENTILATOR CBK MAQUET, INC 300 *

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Disability