FDA Adverse Event Malfunction Summary report: N

TRILOGY EV300

MDR report key: 19405455 · Received May 28, 2024

Report

Report Number
2518422-2024-31773
Event Type
Malfunction
Date Received
May 28, 2024
Date of Event
May 10, 2024
Report Date
November 15, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
PMA / PMN Number
K181166
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

DEVICE NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 0

THE MANUFACTURER PREVIOUSLY REPORTED RECEIVING INFORMATION ALLEGING AN ERROR CONCERNING THE BATTERY OCCURRED. THERE WAS NO HARM OR INJURY REPORTED. THE DEVICE WAS EVALUATED BY A FIELD SERVICE ENGINEER, AND THE CUSTOMER¿S COMPLAINT WAS CONFIRMED. ERROR 59 WAS FOUND IN EVENT LOG AND ADVISED CUSTOMER TO TEST INTERNAL AND DETACHABLE BATTERIES VIA SD+T ASSESSMENT TOOL AND VERIFY IF BATTERIES ARE CHARGING WHEN PLUGGED INTO AC POWER, CUSTOMER VERIFIED BATTERY ASSESSMENT PASSED IN SD+T TOOL AND APPEARS TO BE CHARGING CORRECTLY. CUSTOMER ADVISED THAT DIFFERENT KNOWN GOOD BATTERIES WERE TRIED BUT PROBLEM PERSISTS, REQUESTS BENCH REPAIR, EMAILED BENCH REPAIR FORM TO CUSTOMER WITH INSTRUCTIONS.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION ALLEGING AN ERROR CONCERNING THE BATTERY OCCURRED. THERE WAS NO HARM OR INJURY REPORTED. THE MANUFACTURER'S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
677612 TRILOGY EV300 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. DS2200X11B

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown