FDA Adverse Event Malfunction Summary report: N

RESPIRATORY HUMIDIFIER

MDR report key: 19295984 · Received May 12, 2024

Report

Report Number
9611451-2024-00356
Event Type
Malfunction
Date Received
May 12, 2024
Date of Event
October 16, 2023
Report Date
April 18, 2024
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTT
PMA / PMN Number
K073706
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). CORRECTION: SECTION G4: PMA/510(K) NUMBER CORRECTED TO K073706. SECTION H11: METHOD: THE SUBJECT PCB OF THE MR850 RESPIRATORY HUMIDIFIER WAS RETURNED TO FISHER & PAYKEL HEALTHCARE IN NEW ZEALAND FOR EVALUATION. RESULTS: TESTING OF THE PCB CONFIRMED THAT NO SOUND WAS GENERATED FROM THE SPEAKER. ADDITIONAL RESISTANCE TESTING IDENTIFIED AN OPEN CIRCUIT IN THE SPEAKER'S COIL. CONCLUSION: THE CAUSE OF THE SPEAKER FAILURE WAS AN OPEN CIRCUIT CONDITION OF THE SPEAKER COIL. THE MR850 PRODUCT TECHNICAL MANUAL CONTAINS A MAINTENANCE SCHEDULE WHICH INSTRUCTS THE USER TO CONDUCT ANNUAL VISUAL CHECKING AND PERFORMANCE TESTING OF THE MR850 RESPIRATORY HUMIDIFIER. 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). THE SUBJECT MR850 RESPIRATORY HUMIDIFIER HAS BEEN REQUESTED TO BE RETURNED TO FISHER & PAYKEL HEALTHCARE NEW ZEALAND FOR EVALUATION. WE WILL PROVIDE A FOLLOW UP REPORT UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

THE AUDIBLE ALARM OF A MR850AEA RESPIRATORY HUMIDIFIER WAS FOUND TO BE NOT FUNCTIONING. THIS WAS IDENTIFIED DURING A SERVICE CHECK AT OUR FISHER & PAYKEL HEALTHCARE SERVICE CENTRE IN AUSTRALIA. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE AUDIBLE ALARM OF A MR850AEA RESPIRATORY HUMIDIFIER WAS FOUND TO BE NOT FUNCTIONING. THIS WAS IDENTIFIED DURING A SERVICE CHECK. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
842085 RESPIRATORY HUMIDIFIER RESPIRATORY HUMIDIFIER BTT FISHER & PAYKEL HEALTHCARE LTD MR850AEA 060419

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown