FDA Adverse Event Malfunction Summary report: N

ESPRIT VENTILATOR

MDR report key: 2221064 · Received August 23, 2011

Report

Report Number
2031642-2011-00278
Event Type
Malfunction
Date Received
August 23, 2011
Date of Event
July 23, 2011
Report Date
August 1, 2011
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
CBK
PMA / PMN Number
K981072
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE VENTILATOR SHUT DOWN AND ALARMED WHILE IN USE ON A PATIENT. THE CUSTOMER REPORTED THERE WAS NO PATIENT HARM. THE MANUFACTURER'S SERVICE TECHNICIAN WAS UNABLE TO DUPLICATE THE REPORTED PROBLEM. THE SERVICE TECHNICIAN REPORTED THE VENTILATOR PASSED TESTING DURING EVALUATION. THE VENTILATOR'S LOG HISTORY WAS REVIEWED WITH THE CARDIOPULMONARY DIRECTOR WHO NOTED THAT ON THE DAY/TIME OF THE REPORTED PROBLEM THE VENTILATOR'S BACKUP BATTERY HAD DEPLETED 30 MINUTES AFTER THE VENTILATOR HAD BEEN POWERED ON INTO NORMAL VENTILATION MODE OPERATION. IF THE BACKUP BATTERY DEPLETES DURING USE, THE VENTILATOR WILL SHUT DOWN AND AN AUDIBLE POWER FAIL ALARM WILL ACTIVATE. THIS EVENT IS BEING REPORTED AS A USER ERROR. PER THE ESPRIT OPERATORS MANUAL, WHEN THE VENTILATOR IS POWERED BY THE BACKUP BATTERY IT WILL GENERATE A NONRESETABLE, NONSILEANCEABLE ALARM EVERY 60 SECONDS. DURING THIS STATE A BATTERY IN USE YELLOW LED IS LIT. OPERATION WILL CONTINUE UNTIL THE BATTERY HAS 5 MINUTES OF OPERATION LEFT. A RED BATTERY LOW LED WILL FLASH AND A NONRESETABLE HIGH PRIORITY ALARM WILL SOUND. WHEN THE BATTERY LOW INDICATOR IS FLASHING RED, OPERATION OF THE VENTILATOR FROM THE BATTERY POWER SHOULD BE DISCONTINUED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ESPRIT VENTILATOR VENTILATOR, CONTINUOUS CBK RESPIRONICS CALIFORNIA, INC. V1000 NA

Patients

Seq Age Sex Outcome Treatment
1