FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 11566280 · Received March 24, 2021

Report

Report Number
2031642-2021-03108
Event Type
Malfunction
Date Received
March 24, 2021
Date of Event
March 3, 2021
Product Code
MNT
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

G5:510(K)#: K102985. B4:10AUG2021. THE FIELD SERVICE ENGINEER (FSE) CONFIRMED THE REPORTED FAILURE. THE FSE REPLACED THE BLOWER MOTOR ASSEMBLY(TURBINE) TO RESOLVE THE TURBINE NOISE SOUND ISSUE. THE UNIT WAS TESTED, AND IT WAS RETURNED TO SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED TURBINE HAS NOISE. THE DEVICE WAS NOT IN CLINICAL USE. NO PATIENT OR USER HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
458609 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT V60 VENT, CHINA  OPT: NONE

Patients

Seq Age Sex Outcome Treatment
1