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 |