FDA Adverse Event
Other
Summary report: N
ESPRIT VENTILATOR
MDR report key: 1725421
·
Received June 11, 2010
Report
- Report Number
- 2031642-2010-00122
- Event Type
- Other
- Date Received
- June 11, 2010
- Date of Event
- May 18, 2010
- Report Date
- May 18, 2010
- Manufacturer
- RESPIRONICS CALIFORNIA, INC.
- Product Code
- CBK
- PMA / PMN Number
- K981072
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED, THE VENTILATOR IS ALARMING LOW BATTERY AND THE UNIT RESTARTED. THE CUSTOMER REPORTED, THE VENTILATOR WAS IN USE ON A PATIENT AND THERE WAS NO PATIENT HARM. THE SERVICE TECHNICIAN REVIEWED THE VENTILATOR DIAGNOSTIC LOG HISTORY AND VERIFIED THAT THE BATTERY WAS DEPLETED. THE CUSTOMER STATED THAT THE UNIT WAS REMOVED FROM SERVICE AND LEFT PLUGGED IN ON AC POWER TO CHARGE THE BATTERY. THE SERVICE TECHNICIAN INSPECTED AND TESTED THE BATTERY AND NO PROBLEM WAS FOUND. NO PART WAS REPLACED. THIS EVENT IS BEING REPORTED AS A USER ERROR. FINAL APPLICABLE TESTING WAS PERFORMED AND PASSED TO OPERATING SPECIFICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ESPRIT VENTILATOR | VENTILATOR CONTINUOUS, PRODUCT CODE: CBK | CBK | RESPIRONICS CALIFORNIA, INC. | V1000 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |