FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 17445995 · Received August 2, 2023

Report

Report Number
2518422-2023-17696
Event Type
Malfunction
Date Received
August 2, 2023
Date of Event
December 16, 2022
Report Date
August 2, 2023
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00884838009851
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED AS PART OF A CORRECTIVE ACTION TO REPLACE MANUFACTURER REPORT # 2031642-2023-00136. ALL INFORMATION FROM THE ORIGINAL REPORT(S) HAS BEEN TRANSFERRED TO THIS REPORT.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT FROM THE FIELD SERVICE ENGINEER (FSE), REPORTING THAT THE V60 VENTILATOR HAD LOW SCREEN BRIGHTNESS. IT WAS UNKNOWN HOW THE ISSUE WAS FOUND. NO PATIENT OR USER HARM REPORTED. INSUFFICIENT INFORMATION IS AVAILABLE TO DETERMINE THE RESOLUTION OF THE EVENT. MULTIPLE GOOD FAITH EFFORTS WERE MADE TO RETRIEVE DEVICE EVALUATION, REPAIR, AND OPERATIONAL STATUS ON 12/22/2022, 01/11/2023, 01/19/2023, 01/25/2023, 02/01/2023, 02/07/2023, 02/14/2023, 02/21/2023, 02/28/2023, AND 03/08/2023, 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. THE KEY MARKET REPORTED THAT THERE WAS NO PATIENT INVOLVEMENT WHEN THE ISSUE OCCURRED. NO PATIENT OR USER HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
796466 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 00884838009851

Patients

Seq Age Sex Outcome Treatment
1 Unknown