BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DRAGER

    MDR report key: 722517 · Received May 17, 2006

    Report

    Report Number
    MW1039240
    Event Type
    Injury
    Date Received
    May 17, 2006
    Date of Event
    April 29, 2006
    Report Date
    May 17, 2006
    Manufacturer
    DRE 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

    WHEN THE PT HAS BEEN REPOSITIONED, THE VENTILATOR SCREEN TURNED BLANK AND A CONTINUOUS ALARM SOUNDED, THE PT WAS IMMEDIATELY PLACED ON THE AMBU BAG WITH 100% O2. THE PT DID NOT DESATURATE. THE VENTILATOR TURNED BACK ON AND THEN BACK OFF AGAIN. RESPIRATORY THERAPY WAS NOTIFIED AND A NEW VENTILATOR CAS CONNECTED TO THE PT. THE PT DID FINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRAGER VENTILATOR CBK DRE INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Disability