FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 16511685 · Received March 9, 2023

Report

Report Number
2518422-2023-06475
Event Type
Malfunction
Date Received
March 9, 2023
Date of Event
February 9, 2023
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00884838025776
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H10: THE CUSTOMER EVALUATED THE DEVICE WITH THE ASSISTANCE OF THE REMOTE SERVICE ENGINEER (RSE) AND CONFIRMED THE REPORTED PROBLEM. THE CUSTOMER CALLED IN TO REPORT "NO OXYGEN INHALATION" WAS DISPLAYED WHEN THE NON-INVASIVE VENTILATOR TURNED ON. MULTIPLE GOOD FAITH EFFORTS WERE MADE TO RETRIEVE DEVICE EVALUATION, REPAIR, AND OPERATIONAL STATUS ON (B)(6)2023, (B)(6)2023 AND (B)(6)2023, HOWEVER, YIELDED NO RESPONSE FROM THE CUSTOMER. IT IS UNKNOWN IF ANY PARTS OR REPAIRS HAVE BEEN CONDUCTED. THE COMPLAINT WILL BE PROCESSED FOR CLOSURE. IF ADDITIONAL INFORMATION IS RECEIVED AT A LATER DATE, THE COMPLAINT WILL BE REOPENED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

INITIAL REPORTER NAME AND ADDRESS:: REPORTING INSTITUTION PHONE: (B)(6). REPORTER PHONE NUMBER: (B)(6).

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT FROM THE CUSTOMER ON THE V60 INDICATING THAT WHEN THE NON-INVASIVE VENTILATOR WAS TURNED ON, AN ERROR MESSAGE OF NO OXYGEN INHALATION WAS DISPLAYED. IT WAS REPORTED THERE WAS PATIENT INVOLVEMENT AT THE TIME THE ISSUE WAS DISCOVERED; HOWEVER, THERE WAS NO HARM TO THE PATIENT OR USER. THE INVESTIGATION IS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1550095 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 00884838025776

Patients

Seq Age Sex Outcome Treatment
1 Unknown