FDA Adverse Event Malfunction Summary report: N

RESPIRONICS

MDR report key: 21375439 · Received February 13, 2025

Report

Report Number
2518422-2025-015732
Event Type
Malfunction
Date Received
February 13, 2025
Date of Event
January 24, 2025
Report Date
April 22, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00884838090996
PMA / PMN Number
K102985
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE BENCH SERVICE ENGINEER (BSE) EVALUATED THE DEVICE THE DEVICE AT A BENCH SERVICE CENTER. WHEN THE BSE SELECTED THE "SERVICE" BUTTON IN THE DIAGNOSTIC MODE, THE DEVICE SHUT DOWN AND RESTARTED EACH TIME. THE BSE DETERMINED THAT THE ISSUE WAS BEING CAUSED BY THE CENTRAL PROCESSING UNIT (CPU) PRINTED CIRCUIT BOARD ASSEMBLY (PCBA). A REPLACEMENT CPU PCBA WOULD BE REQUIRED. THE BSE WAS UNABLE TO RETRIEVE THE DEVICES DIAGNOSTIC REPORT (DRPT). THE BSE REPLACED THE CPU PCBA TO RESOLVE THE ISSUE. FOLLOWING THE PART REPLACEMENT THE BSE COMPLETED A PERFORMANCE VERIFICATION TEST (PVT) WHICH THE DEVICE PASSED, CONFIRMING THAT THE DEVICE HAD BEEN RETURNED TO FULL FUNCTIONALITY. THE DEVICE WILL BE RETURNED TO THE CUSTOMER 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 DEVICE SHUTDOWN UNEXPECTEDLY. THE DEVICE WAS REPORTED TO BE OUTSIDE OF USE AT THE TIME OF THE REPORTED PROBLEM. NO PATIENT OR USER HARM REPORTED. THE BENCH SERVICE ENGINEER (BSE) EVALUATED THE DEVICE THE DEVICE AT A BENCH SERVICE CENTER. WHEN THE BSE SELECTED THE "SERVICE" BUTTON IN THE DIAGNOSTIC MODE, THE DEVICE SHUT DOWN AND RESTARTED EACH TIME. THE BSE DETERMINED THAT THE ISSUE WAS BEING CAUSED BY THE CENTRAL PROCESSING UNIT (CPU) PRINTED CIRCUIT BOARD ASSEMBLY (PCBA). A REPLACEMENT CPU PCBA WOULD BE REQUIRED. THE BSE WAS UNABLE TO RETRIEVE THE DEVICES DIAGNOSTIC REPORT (DRPT). THIS INVESTIGATION IS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125817 RESPIRONICS VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. V60 V60PLUS VENTILATOR 00884838090996

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown