FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 20688244 · Received November 14, 2024

Report

Report Number
2518422-2024-70408
Event Type
Malfunction
Date Received
November 14, 2024
Date of Event
October 10, 2024
Report Date
April 9, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ISSUE WAS FIRST OBSERVED BY THE BENCH SERVICE ENGINEER (BSE) AT THE BENCH REPAIR CENTER. THE RESISTANCE OF THE ALTERNATING CURRENT (AC) POWER CABLE WAS FOUND TO EXCEED THE PERMITTED LIMITS OF THE ELECTRICAL SAFETY TEST. THE BSE DETERMINED THAT THE AC POWER CABLE NEEDED TO BE REPLACED. THE BSE REPLACED THE AC POWER CABLE AT THE BENCH REPAIR CENTER TO RESOLVE THE ELECTRICAL SAFETY ISSUE. FOLLOWING THE PART REPLACEMENT, THE BSE COMPLETED A PERFORMANCE VERIFICATION TEST (PVT) WHICH THE DEVICE PASSED. IT WILL BE RETURNED TO THE CUSTOMER FULLY FUNCTIONAL AND READY FOR USE. THE INVESTIGATION CONCLUDES THAT NO FURTHER ACTION IS REQUIRED AT THIS TIME. IF ADDITIONAL INFORMATION IS RECEIVED THE COMPLAINT FILE WILL BE REOPENED.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE V60 VENTILATOR INDICATING THAT THE DEVICE FAILED THE ELECTRICAL SAFETY TEST. THE DEVICE WAS REPORTED TO BE OUTSIDE OF USE AT THE TIME OF THE REPORTED PROBLEM. NO PATIENT OR USER HARM REPORTED. THE ISSUE WAS FIRST OBSERVED BY THE BENCH SERVICE ENGINEER (BSE) AT THE BENCH REPAIR CENTER. THE RESISTANCE OF THE ALTERNATING CURRENT (AC) POWER CABLE WAS FOUND TO EXCEED THE PERMITTED LIMITS OF THE ELECTRICAL SAFETY TEST. THE BSE DETERMINED THAT THE AC POWER CABLE NEEDED TO BE REPLACED. THIS INVESTIGATION IS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1205091 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 V60PLUS VENTILATOR

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown