BEUDAMED
    FDA Adverse Event Death Summary report: N

    TRILOGY 100 VENTILATOR

    MDR report key: 14257479 · Received April 29, 2022

    Report

    Report Number
    MW5109442
    Event Type
    Death
    Date Received
    April 29, 2022
    Date of Event
    February 2, 2019
    Report Date
    April 26, 2022
    Manufacturer
    PHILIPS / RESPIRONICS INC.
    Product Code
    CBK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    AUNT USED TRILOGY 100 VENTILATOR MACHINE FROM 2017 TO 2021. LAST 2 YEARS, AUNT COMPLAINED TRILOGY MACHINE WASN'T WORKING CORRECTLY AND COULDN'T BREATHE, SO WE HAD TRILOGY REPLACED 3X BEFORE HER DEATH. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1353624 TRILOGY 100 VENTILATOR VENTILATOR, CONTINUOUS, FACILITY USE CBK PHILIPS / RESPIRONICS INC. 100
    1353625 TRILOGY 100 VENTILATOR VENTILATOR, CONTINUOUS, FACILITY USE CBK PHILIPS / RESPIRONICS INC. 100
    1353626 TRILOGY 100 VENTILATOR VENTILATOR, CONTINUOUS, FACILITY USE CBK PHILIPS / RESPIRONICS INC. 100

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Female Death OXYGEN - 3 LITERS