FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 19028100 · Received April 2, 2024

Report

Report Number
2518422-2024-16888
Event Type
Malfunction
Date Received
April 2, 2024
Date of Event
March 15, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00884838020054
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE V60 VENTILATOR INDICATING THAT THERE WAS AN OVER VOLTAGE PROTECTION (OVP) CIRCUIT FAILURE. THE DEVICE WAS REPORTED TO BE OUTSIDE OF USE AT THE TIME OF THE REPORTED PROBLEM. NO PATIENT OR USER HARM REPORTED. UPON REVIEWING THE ERROR LOG OF THE V60 DEVICE, IT WAS FOUND THAT THERE WAS AN OVP CIRCUIT FAILURE WHICH WAS ALSO CAUSING A SPI BUS FAILURE TO OCCUR. ON (B)(6) 2024, THE POWER MANAGEMENT (PM) PRINTED CIRCUIT BOARD ASSEMBLY (PCBA) WAS REPLACED TO RESOLVE THE OVP AND SPI BUS ISSUES. THE DEVICE PASSED ALL THE TESTING REQUIRED FOR A PERFORMANCE VERIFICATION TEST AND WAS RETURNED TO SERVICE. THE INVESTIGATION CONCLUDES THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1623043 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 00884838020054

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown