| Brand Name | Evita V600 |
| Common Device Name | Ventilators, Intensive Care |
| Manufacturer (Section D) |
| Drägerwerk AG & Co. KGaA |
| moislinger allee 53-55 |
| lübeck |
| GM |
|
| Manufacturer (Section G) |
| Drägerwerk AG & Co. KGaA |
| moislinger allee 53-55 |
|
| lübeck 23558 |
|
GM
23558
|
|
| Manufacturer Contact |
|
|
| moislinger allee 53-55 |
| lübeck 23558
|
|
+49(451)8822868
|
|
| MDR Report Key | 50125605 |
| Report Number | 9611500-2026-00397 |
| Device Sequence Number | 13402058 |
| Product Code |
CBK
|
| UDI-Device Identifier | 04048675548744 |
| UDI-Public | (01)04048675548744(11)190109(93)8422300-03 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K222024 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/29/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 8422300 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 07/24/2026 |
| Supplement Date Received by Manufacturer | 09/25/2026
|
| Initial Report FDA Received Date | 08/04/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 01/09/2019 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |