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