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 |