FDA Adverse Event Malfunction Summary report: N

ESPRIT VENTILATOR

MDR report key: 1030668 · Received April 15, 2008

Report

Report Number
2031642-2008-00087
Event Type
Malfunction
Date Received
April 15, 2008
Date of Event
March 20, 2008
Report Date
March 20, 2008
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
CBK
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NA

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE VENTILATOR WENT VENT INOP AND ALARMED WHILE IN USE ON A PT. THE CUSTOMER REPORTED THERE WAS NO PT HARM. VENT INOP, WHEN IN USE, WILL STOP PROVIDING VENTILATORY SUPPORT TO THE PT. THE MANUFACTURER'S SERVICE TECHNICIAN WAS ABLE TO DUPLICATE THE REPORTED PROBLEM. AFTER OPERATING THE VENTILATOR IN NORMAL MODE FOR A FEW MINUTES, THE UNIT WENT VENT INOP DUE TO AN INHALATION AUTOZERO FAILURE. UPON INSPECTION OF THE VENTILATOR, THE SERVICE TECHNICIAN REPORTED FINDING THE INHALATION PRESSURE TRANSDUCER HOSE WAS PINCHED BETWEEN THE TOP AND BOTTOM ENCLOSURES. THE CUSTOMER HAD RECENTLY COMPLETED PERFORMING A 12.5K PREVENTIVE MAINTENANCE SERVICE ON THE VENTILATOR AND PINCHED THE HOSE UPON REASSEMBLING THE VENTILATOR FOR USE. THE MANUFACTURER'S SERVICE TECHNICIAN REPOSITIONED THE TRANSDUCER HOSE TO CORRECT THE PROBLEM CAUSED AS A RESULT OF THE CUSTOMER'S SERVICE.

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