FDA Adverse Event Malfunction Summary report: N

GARBIN EVO, LINDE

MDR report key: 20682134 · Received November 14, 2024

Report

Report Number
2518422-2024-103886
Event Type
Malfunction
Date Received
November 14, 2024
Date of Event
October 30, 2024
Report Date
October 28, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959057432
PMA / PMN Number
K181166
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

IT WAS ORIGINALLY REPORTED ON 14 NOVEMBER 2024 THAT THE MANUFACTURER RECEIVED INFORMATION ALLEGING A VENTILATOR INOPERATIVE CONDITION OCCURRED ON A TRILOGY EVO VENTILATOR AND THERE WAS NO HARM OR INJURY REPORTED. IT WAS FURTHER REPORTED THAT THE DEVICE HAD NOT YET BEEN RETURNED TO THE MANUFACTURER AND AT THAT TIME, WE WERE UNABLE TO CONFIRM THE ALLEGED MALFUNCTION. FURTHER INVESTIGATION INTO THIS COMPLAINT HAS DETERMINED THAT THIS DEVICE ISSUE HAD BEEN PREVIOUSLY REPORTED ON EMDR 2518422-2024-101718 AND 2518422-2024-101718-1. THIS COMPLAINT RECORD (2518422-2024-103886) IS CONFIRMED TO BE A DUPLICATE COMPLAINT. PLEASE CLOSE THIS RECORD AS A DUPLICATE OF THE AFOREMENTIONED EMDR REPORT.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION ALLEGING A VENTILATOR INOPERATIVE CONDITION OCCURRED. THERE WAS NO HARM OR INJURY REPORTED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER. AT THIS TIME, WE ARE UNABLE TO CONFIRM THE ALLEGED MALFUNCTION. 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
1195256 GARBIN EVO, LINDE VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. LD2110X23B 00606959057432

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown