FDA Adverse Event
Malfunction
Summary report: N
TRILOGY EV300, USA
MDR report key: 23082661
·
Received September 18, 2025
Report
- Report Number
- 2518422-2025-110334
- Event Type
- Malfunction
- Date Received
- September 18, 2025
- Date of Event
- September 8, 2025
- Report Date
- September 18, 2025
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- CBK
- UDI-DI
- 00606959052017
- PMA / PMN Number
- K181166
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION THAT A TRILOGY EV300 VENTILATOR FAILED PRELIMINARY SYSTEM TESTING OF THE ACTIVE EXHALATION CONTROL MODULE (AECM). THE DEVICE WAS NOT REPORTED TO BE IN USE WITH A PATIENT AND NO HARM, OR INJURY WAS REPORTED. THE TRILOGY EVO 3-WAY SOLENOID VALVE AND PROPORTIONAL VALVE REQUIRE REPLACEMENT TO ADDRESS THE AECM TEST FAILURE. THE DEVICE REMAINS AT THE CUSTOMER SITE AND ON-SITE REPAIR OF THE VENTILATOR WAS PLANNED FOR COMPLETION 17 SEPT 2025. A FINAL REPORT IS BEING SUBMITTED. IF NEW INFORMATION BECOMES AVAILABLE FOLLOWING THE COMPLETION OF THE DEVICE REPAIR THAT CHANGES THE OUTCOME OF THE INVESTIGATION AND ASSOCIATED MEDICAL DEVICE REPORTING A FOLLOW UP/SUPPLEMENTAL REPORT WILL BE COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2598958 | TRILOGY EV300, USA | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | RESPIRONICS, INC. | DS2200X11B | 00606959052017 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |