BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESPIRONICS

    MDR report key: 11717488 · Received April 23, 2021

    Report

    Report Number
    2031642-2021-03475
    Event Type
    Malfunction
    Date Received
    April 23, 2021
    Date of Event
    March 24, 2021
    Manufacturer
    RESPIRONICS CALIFORNIA, LLC
    Product Code
    MNT
    UDI-DI
    00884838020054
    PMA / PMN Number
    K102985
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MX
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    THE DEVICE WAS EVALUATED BY A FIELD SERVICE ENGINEER. THE BATTERY WAS REPLACED, AND THE EQUIPMENT WAS LEFT CONNECTED TO THE AC FOR AT LEAST 8 HOURS TO CHARGE. THE ISSUE WAS RESOLVED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED PHILIPS BATTERY REQUEST. THE DEVICE WAS NOT IN CLINICAL USE, NO PATIENT OR USER HARM WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612007 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS CALIFORNIA, LLC V60 00884838020054

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown