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