FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 17389705 · Received July 25, 2023

Report

Report Number
2518422-2023-16704
Event Type
Malfunction
Date Received
July 25, 2023
Date of Event
December 14, 2022
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

THIS REPORT IS BEING SUBMITTED AS PART OF A CORRECTIVE ACTION TO REPLACE MANUFACTURER REPORT # 2031642-2023-00105. ALL INFORMATION FROM THE ORIGINAL REPORT(S) HAS BEEN TRANSFERRED TO THIS REPORT.

Description of Event or Problem · 0

IT HAS BEEN REPORTED 05K/V60 VENTILATOR/HIGH EXH TV.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1921674 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY US MNT RESPIRONICS, INC. V60 VENT, CHINA OPT: CFLEX, AVAPS 00884838025776

Patients

Seq Age Sex Outcome Treatment
1 Unknown