FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 19260966 · Received May 7, 2024

Report

Report Number
2518422-2024-25881
Event Type
Malfunction
Date Received
May 7, 2024
Date of Event
January 16, 2024
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

IN A GOOD FAITH EFFORT (GFE) RESPONSE FROM THE AUTHORIZED SERVICE PROVIDER (ASP) RECEIVED ON 06MAY2024, IT WAS STATED THAT THE HOSPITAL EQUIPMENT DEPARTMENT HAD REMOVED THE BATTERY AND RESTORED THE DEVICE TO NORMAL USE AFTER REINSTATING ALTERNATING CURRENT (AC) POWER. CLARIFICATION IS BEING REQUESTED IN A GOOD FAITH EFFORT (GFE) ON IF A REPLACEMENT BATTERY WAS REINSTALLED INTO THE DEVICE. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE CUSTOMER INFORMED THE AUTHORIZED SERVICE PROVIDER (ASP) THAT THE DEVICE DID NOT WORK FOLLOWING THE SHUTDOWN. IN A GOOD FAITH EFFORT (GFE) RESPONSE FROM THE AUTHORIZED SERVICE PROVIDER (ASP) RECEIVED ON 06MAY2024, IT WAS STATED THAT THE HOSPITAL EQUIPMENT DEPARTMENT HAD REMOVED THE BATTERY AND RESTORED THE DEVICE TO NORMAL USE AFTER REINSTATING ALTERNATING CURRENT (AC) POWER. CLARIFICATION IS BEING REQUESTED IN A GOOD FAITH EFFORT (GFE) ON IF A REPLACEMENT BATTERY WAS REINSTALLED INTO THE DEVICE. IN A GFE RESPONSE FROM THE ASP RECEIVED ON 17MAY2024, IT WAS CONFIRMED THAT THE CUSTOMER HAD NOT REINSTALLED A BATTERY BEFORE CONNECTING THE DEVICE TO AC POWER TO RESOLVE THE ISSUE. THE INVESTIGATION CONCLUDES THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE V60 VENTILATOR INDICATING THAT THE DEVICE SHUTDOWN. THE DEVICE WAS REPORTED TO BE IN USE AT THE TIME OF THE REPORTED PROBLEM. NO PATIENT OR USER HARM REPORTED. THE CUSTOMER INFORMED THE AUTHORIZED SERVICE PROVIDER (ASP) THAT THE DEVICE DID NOT WORK FOLLOWING THE SHUTDOWN. THIS INVESTIGATION IS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
439576 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 V60PLUS VENTILATOR 00884838025776

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown