FDA Adverse Event
Malfunction
Summary report: N
BIPAP A40 PRO
MDR report key: 20194714
·
Received September 11, 2024
Report
- Report Number
- 2518422-2024-100517
- Event Type
- Malfunction
- Date Received
- September 11, 2024
- Date of Event
- August 13, 2024
- Report Date
- June 10, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- MNT
- UDI-DI
- 00606959055063
- PMA / PMN Number
- K121623
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION ALLEGING A VENTILATOR INOPERABLE CONDITION OCCURRED. THERE WAS NO HARM OR INJURY REPORTED. THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE. THE BIPAP A40 PRO (GBX3100S19) IS SUBSTANTIALLY SIMILAR TO THE BIPAP A40(1111169) AND WILL BE REPORTED IN THE UNITED STATES UNDER BIPAP A40, K121623.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1516493 | BIPAP A40 PRO | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE | MNT | RESPIRONICS, INC. | GBX3100S19 | 00606959055063 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |