BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ESPRIT VENTILATOR

    MDR report key: 1022221 · Received March 26, 2008

    Report

    Report Number
    2031642-2008-00076
    Event Type
    Malfunction
    Date Received
    March 26, 2008
    Date of Event
    March 7, 2008
    Report Date
    March 7, 2008
    Manufacturer
    RESPIRONICS CALIFORNIA, INC.
    Product Code
    CBK
    PMA / PMN Number
    NA
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT WHEN THE AUDIBLE ALARM ACTIVATED ON THE VENTILATOR, THE FACILITY REMOTE NURSE CALL DID NOT ALARM. THE VENTILATOR WAS IN USE ON A PATIENT, AND THE CUSTOMER REPORTED THERE WAS NO PATIENT HARM. THE MFR'S SERVICE TECHNICIAN WAS UNABLE TO DUPLICATE THE CUSTOMER REPORTED PROBLEMS. THE SERVICE TECHNICIAN REPORTED THE REMOTE ALARM STATION WOULD ALARM DURING TESTING. THE SERVICE TECH REPORTED THE REMOTE ALARM JACK ON THE VENTILATOR WAS LOOSE. THE SERVICE TECH REPLACED THE MAIN PRINTED CIRCUIT BOARD (PCB) TO CORRECT THE FINDING. EXTENDED SELF TESTING (EST) AND PERFORMANCE VERIFICATION TESTING WAS COMPLETED AND ALL TESTS PASSED PER OPERATING SPECIFICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ESPRIT VENTILATOR VENTILATOR, CONTINUOUS CBK RESPIRONICS CALIFORNIA, INC. V1000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK