FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 11740446 · Received April 28, 2021

Report

Report Number
2031642-2021-03528
Event Type
Malfunction
Date Received
April 28, 2021
Date of Event
March 30, 2021
Manufacturer
RESPIRONICS CALIFORNIA, LLC
Product Code
MNT
UDI-DI
00884838020054
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

BASED ON ADDITIONAL INFORMATION RECEIVED, THE FRONT BEZEL AND TOUCHSCREEN WERE REPLACED. THIS RESOLVED THE ISSUE FOR THE CUSTOMER. THE DEVICE REMAINS ONSITE AND IN USE.

Description of Event or Problem · 1

IT WAS REPORTED TO PHILIPS THAT THE TOUCHSCREEN WAS NOT WORKING ON THE BOTTOM OF THE SCREEN EVEN AFTER CALIBRATION AND THAT THE BEZEL WAS CRACKED. THE DEVICE WAS NOT IN CLINICAL USE AT THE TIME OF THE EVENT. THERE WAS NO REPORT OF PATIENT OR USER HARM/IMPACT. THE DEVICE WAS EVALUATED BY THE CUSTOMER WITH ASSISTANCE FROM A PHILIPS REMOTE SERVICE ENGINEER (RSE). THE RSE PROVIDED THE CUSTOMER WITH PART INFORMATION FOR A REPLACEMENT TOUCHSCREEN AND FRONT BEZEL ASSEMBLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
636345 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS CALIFORNIA, LLC V60 00884838020054

Patients

Seq Age Sex Outcome Treatment
1 Unknown