FDA Adverse Event Malfunction Summary report: N

IBREEZE 25STA

MDR report key: 16253925 · Received January 26, 2023

Report

Report Number
MW5114527
Event Type
Malfunction
Date Received
January 26, 2023
Date of Event
January 19, 2023
Report Date
January 24, 2023
Manufacturer
RESVENT MEDICAL TECHNOLOGY CO., LTD
Product Code
QOR
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

RESVENT IBREEZE BPAP BREATHING THERAPY DEVICE INTERMITTENTLY AND WITHOUT WARNING INTERRUPTS BREATHING CYCLE DURING INHALATION STAGE. REPORTED TO SUPPLIER (B)(4) ON (B)(6) 2023 AT 1220P. ADVISED IN THAT TELEPHONE CALL THAT I WOULD HEAR BACK FROM THEM SOON FOR AN APPOINTMENT TO CORRECT. NO RETURN CONTACT AS OF 24-JAN, 2023 0600A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
5400 IBREEZE 25STA CONTINUOUS VENTILATOR, MINIMAL VENTILATORY SUPPORT QOR RESVENT MEDICAL TECHNOLOGY CO., LTD IBREEZE 25STA

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other