FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 20782371 · Received November 26, 2024

Report

Report Number
2518422-2024-071852
Event Type
Malfunction
Date Received
November 26, 2024
Date of Event
November 5, 2024
Report Date
December 2, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00884838020054
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INSUFFICIENT INFORMATION IS AVAILABLE TO DETERMINE THE RESOLUTION OF THE EVENT. MULTIPLE GOOD FAITH EFFORTS (GFE) WERE PERFORMED FOR FURTHER DETAILS REGARDING THE EVENT; HOWEVER, THE CUSTOMER REPORTED THAT THE DEVICE HAS NOT BEEN REPAIRED, AND DID NOT PROVIDE ANY FURTHER DETAILS REGARDING THE EVENT. IN THE EVENT THAT PARTS ARE RETURNED OR IF NEW INFORMATION IS PROVIDED, THE COMPLAINT WILL BE REOPENED TO UPDATE THE INVESTIGATION.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT FROM THE BIOMEDICAL ENGINEER (BME), REPORTING THAT THE V60 VENTILATOR DISPLAYED AN OVER-VOLTAGE PROTECTION (OVP) ERROR CODE. IT WAS REPORTED THAT THE DEVICE WAS NOT IN CLINICAL USE WHEN THE ISSUE OCCURRED. THERE WAS NO PATIENT OR USER HARM REPORTED. THE BME NOTED THE FOLLOWING ERROR CODES, VENT 3.3V SUPPLY FAILED, MOTOR CONTROL PCBA ADC FAILED, 5V SUPPLY FAILED, 35V SUPPLY FAILED, AND OVP CIRCUIT FAILED. AS THE ERROR CODES ARE RELATED TO EACH OTHER, THE ISSUE IS CONSIDERED AN OVP CIRCUIT FAILED ISSUE. THE INVESTIGATION IS STILL ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2441794 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 00884838020054

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown