FDA Adverse Event Malfunction Summary report: N

FISHER & PAYKEL HEALTHCARE

MDR report key: 18279687 · Received December 6, 2023

Report

Report Number
9611451-2023-01117
Event Type
Malfunction
Date Received
December 6, 2023
Report Date
November 7, 2023
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTT
UDI-DI
09420012407276
PMA / PMN Number
K110019
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). METHOD: THE SUBJECT MR850 RESPIRATORY HUMIDIFIER WAS RETURNED TO THE FISHER & PAYKEL (F&P) HEALTHCARE SERVICE CENTRE IN JAPAN WHERE IT WAS INSPECTED BY A TRAINED F&P HEALTHCARE SERVICE TECHNICIAN. THE UNIT WAS SERVICED, AND PERFORMANCE TESTED. SUBSEQUENTLY, THE PCB OF THE SUBJECT MR850 RESPIRATORY HUMIDIFIER WAS RECEIVED IN F&P HEALTHCARE NEW ZEALAND FOR INVESTIGATION, WHERE IT WAS VISUALLY INSPECTED AND TESTED. RESULTS: PERFORMANCE TESTING OF THE SUBJECT PCB CONFIRMED THAT THE AUDIBLE ALARM WAS NOT FUNCTIONING DUE TO AN OPEN CIRCUIT IN THE SPEAKER COIL. CONCLUSION: WE WERE UNABLE TO DETERMINE THE CAUSE OF THE OPEN CIRCUIT CONDITION. THE MR850 PRODUCT TECHNICAL MANUAL CONTAINS A MAINTENANCE SCHEDULE WHICH INSTRUCTS THE USER TO CONDUCT ANNUAL VISUAL CHECKING AND PERFORMANCE TESTING OF THE MR850 HEATER BASE. IN ADDITION, THE PRODUCT TECHNICAL MANUAL ALSO STATES THAT "ALL SERVICING PROCEDURES SHOULD BE FOLLOWED BY A HUMIDIFIER TEST, AND AN ELECTRICAL SAFETY TEST TO ENSURE PROPER OPERATION". THE MR850 IS EQUIPPED WITH VISUAL ALARM INDICATORS IN ADDITION TO THE AUDIBLE ALARM.

Additional Manufacturer Narrative · 0

(B)(4). **UDI RELATED DATA QUALITY UPDATES ONLY** CORRECTIONS TO REFLECT GUDID: SECTION D1: BRAND NAME UPDATED TO FISHER & PAYKEL HEALTHCARE SECTION D2A: COMMON DEVICE NAME UPDATED TO RESPIRATORY HUMIDIFIER SECTION D4: MODEL AND CATALOG # UPDATED TO MR850GJU SECTION G1: CONTACT PERSON UPDATED TO MR. DIEGO VARGAS BANUELOS SECTION G4: MR850GJU IS NOT SOLD IN THE USA BUT IT IS SIMILAR TO A PRODUCT WHICH IS SOLD IN THE USA, MR850AEU. THE 510(K) FOR THAT PRODUCT IS K073706 METHOD: THE SUBJECT MR850 RESPIRATORY HUMIDIFIER WAS RETURNED TO THE FISHER & PAYKEL (F&P) HEALTHCARE SERVICE CENTRE IN JAPAN WHERE IT WAS INSPECTED BY A TRAINED F&P HEALTHCARE SERVICE TECHNICIAN. THE UNIT WAS SERVICED, AND PERFORMANCE TESTED. SUBSEQUENTLY, THE PCB OF THE SUBJECT MR850 RESPIRATORY HUMIDIFIER WAS RECEIVED IN F&P HEALTHCARE NEW ZEALAND FOR INVESTIGATION, WHERE IT WAS VISUALLY INSPECTED AND TESTED. RESULTS: PERFORMANCE TESTING OF THE SUBJECT PCB CONFIRMED THAT THE AUDIBLE ALARM WAS NOT FUNCTIONING DUE TO AN OPEN CIRCUIT IN THE SPEAKER COIL. CONCLUSION: WE WERE UNABLE TO DETERMINE THE CAUSE OF THE OPEN CIRCUIT CONDITION. THE MR850 PRODUCT TECHNICAL MANUAL CONTAINS A MAINTENANCE SCHEDULE WHICH INSTRUCTS THE USER TO CONDUCT ANNUAL VISUAL CHECKING AND PERFORMANCE TESTING OF THE MR850 HEATER BASE. IN ADDITION, THE PRODUCT TECHNICAL MANUAL ALSO STATES THAT "ALL SERVICING PROCEDURES SHOULD BE FOLLOWED BY A HUMIDIFIER TEST, AND AN ELECTRICAL SAFETY TEST TO ENSURE PROPER OPERATION". THE MR850 IS EQUIPPED WITH VISUAL ALARM INDICATORS IN ADDITION TO THE AUDIBLE ALARM.

Additional Manufacturer Narrative · 0

(B)(4). WE ARE CURRENTLY IN THE PROCESS OF COMPLETING OUR INVESTIGATION. WE WILL PROVIDE A FOLLOW-UP REPORT UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

A HEALTHCARE FACILITY IN JAPAN REPORTED THAT THE AUDIBLE ALARM OF A MR850 RESPIRATORY HUMIDIFIER WAS NOT FUNCTIONING. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

Description of Event or Problem · 0

A HEALTHCARE FACILITY IN JAPAN REPORTED THAT THE AUDIBLE ALARM OF A MR850 RESPIRATORY HUMIDIFIER WAS NOT FUNCTIONING. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

Description of Event or Problem · 0

A HEALTHCARE FACILITY IN JAPAN REPORTED THAT THE AUDIBLE ALARM OF A MR850 RESPIRATORY HUMIDIFIER WAS NOT FUNCTIONING. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
876359 FISHER & PAYKEL HEALTHCARE RESPIRATORY HUMIDIFIER BTT FISHER & PAYKEL HEALTHCARE LTD MR850GJU 2101191756 09420012407276

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown