FDA Adverse Event Malfunction Summary report: N

INNOSPIRE DELUXE

MDR report key: 21457184 · Received February 25, 2025

Report

Report Number
2518422-2025-021946
Event Type
Malfunction
Date Received
February 25, 2025
Date of Event
July 24, 2023
Report Date
July 9, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
PMA / PMN Number
K131982
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER PREVIOUSLY REPORTED "THE MANUFACTURER RECEIVED INFORMATION ALLEGING A ELECTRICAL BURNOUT AND BROKEN ON OFF SWITCH." UPON FURTHER REVIEW, IT WAS IDENTIFIED THAT DEVICE INVOLVED IN THE COMPLAINT WAS NOT MANUFACTURED BY PHILIPS, INC. THE COMPLIANT WAS INITIALLY INCORRECTLY REPORTED AS A PHILIPS CPAP DEVICE IN MDR 2518422-2025-021946. THE DEVICE IDENTIFIED IN THE COMPLAINT IS A INNOSPIRE DELUXE (SN (B)(6) / REF (B)(4)/ LOT NO 1903-CN3WL). THE COMPLAINT INFORMATION HAS BEEN FORWARDED TO THE DEVICE MANUFACTURER.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION ALLEGING A ELECTRICAL BURNOUT AND BROKEN ON OFF SWITCH. AT THIS TIME, NO FURTHER INVESTIGATION CAN BE PERFORMED. THE MANUFACTURER IS SUBMITTING A FINAL REPORT AT THIS TIME. IF PERTINENT INFORMATION BECOMES AVAILABLE TO THE MANUFACTURER AT A LATER DATE, AN ADDENDUM TO THIS FINAL REPORT WILL BE FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
464012 INNOSPIRE DELUXE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. 1112279

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown