MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-19 for PNEUPAC VENTIPAC MEDICAL VENTILATOR 130003 manufactured by Smiths Medical Asd, Inc..
[184042301]
Information was received that the alarms on a smiths medical pneupac ventipac medical ventilator were not functioning. No adverse effects were reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3012307300-2020-02068 |
| MDR Report Key | 9851430 |
| Date Received | 2020-03-19 |
| Date of Report | 2020-03-18 |
| Date Mfgr Received | 2020-02-17 |
| Device Manufacturer Date | 2005-09-21 |
| Date Added to Maude | 2020-03-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | DAVE HALVERSON |
| Manufacturer Street | 6000 NATHAN LANE NORTH |
| Manufacturer City | MINNEAPOLIS, MN |
| Manufacturer Country | US |
| Manufacturer G1 | SMITHS MEDICAL, INTERNATIONAL LTD. |
| Manufacturer Street | BRAMINGHAM BUSINESS PARK, ENTERPRISE WAY, |
| Manufacturer City | LUTON, |
| Manufacturer Country | UK |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PNEUPAC VENTIPAC MEDICAL VENTILATOR |
| Generic Name | VENTILATOR, EMERGENCY, POWERED (RESUSCITATOR) PRODUCT CODE: BTL |
| Product Code | BTL |
| Date Received | 2020-03-19 |
| Model Number | 130003 |
| Catalog Number | 130003 |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITHS MEDICAL ASD, INC. |
| Manufacturer Address | 6000 NATHAN LANE NORTH MINNEAPOLIS, MN US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-19 |