FDA Adverse Event Malfunction Summary report: N

TRILOGY 100

MDR report key: 22956894 · Received September 3, 2025

Report

Report Number
2518422-2025-109614
Event Type
Malfunction
Date Received
September 3, 2025
Date of Event
August 25, 2025
Report Date
September 8, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959026353
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER RECEIVED INFORMATION FROM A PHILIPS SERVICE TECHNICIAN THAT THE LOW FLOW OXYGEN (O2) TEST STEP HAD FAILED ON THE TRILOGY 100 DEVICE. THERE WAS NO SERIOUS PATIENT HARM OR INJURY THAT OCCURRED OR WAS REPORTED. THE PHILIPS SERVICE TECHNICIAN EVALUATED AND DETERMINED THE INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH TUBING HAD CAUSED THE LOW FLOW O2 TEST STEP TO FAIL ON THE DEVICE. THE PHILIPS SERVICE TECHNICIAN REPLACED THE DEVICE'S INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH TUBING TO ADDRESS THIS ISSUE ON THE DEVICE. THE PHILIPS SERVICE TECHNICIAN RE-PERFORMED THE TESTING ON THE DEVICE, AND ALL TESTING ON THE DEVICE HAD PASSED. ADDITIONAL FINDINGS NOT RELATED TO THE MALFUNCTION/ISSUE WAS DAMAGE FOUND TO THE FRONT AND REAR ENCLOSURE CASES, AND HANDLE. THE PHILIPS SERVICE TECHNICIAN HAD REPLACED THE DEVICE'S FRONT AND REAR ENCLOSURE CASES, AND HANDLE TO ADDRESS THESE ISSUES. THE PHILIPS SERVICE TECHNICIAN WAS NOT ABLE TO CONFIRM THE GAP BETWEEN ENCLOSURES. THE PHILIPS SERVICE TECHNICIAN CLEANED THE OUTER ENCLOSURE ON THIS DEVICE.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION FROM A PHILIPS SERVICE TECHNICIAN THAT THE LOW FLOW OXYGEN (O2) TEST STEP HAD FAILED ON THE TRILOGY 100 DEVICE. THERE WAS NO SERIOUS PATIENT HARM OR INJURY THAT OCCURRED OR WAS REPORTED. THE PHILIPS SERVICE TECHNICIAN EVALUATED AND DETERMINED THE INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH TUBING HAD CAUSED THE LOW FLOW O2 TEST STEP TO FAIL ON THE DEVICE. THE PHILIPS SERVICE TECHNICIAN REPLACED THE DEVICE'S INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH TUBING TO ADDRESS THIS ISSUE ON THE DEVICE. THE MANUFACTURER'S EVALUATION IS STILL ONGOING DUE TO THE DEVICE NEEDS TO BE RETESTED AFTER THE PARTS HAD BEEN REPLACED ON THE DEVICE. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE. ADDITIONAL FINDINGS NOT RELATED TO THE MALFUNCTION/ISSUE WAS DAMAGE FOUND TO THE FRONT AND REAR ENCLOSURE CASES, AND HANDLE. THE PHILIPS SERVICE TECHNICIAN HAD REPLACED THE DEVICE'S FRONT AND REAR ENCLOSURE CASES, AND HANDLE TO ADDRESS THESE ISSUES. THE PHILIPS SERVICE TECHNICIAN WAS NOT ABLE TO CONFIRM THE GAP BETWEEN ENCLOSURES. THE PHILIPS SERVICE TECHNICIAN CLEANED THE OUTER ENCLOSURE ON THIS DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1386776 TRILOGY 100 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. 1054260B 00606959026353

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown