FDA Adverse Event
Malfunction
Summary report: N
TRILOGY EV300, USA
MDR report key: 23114732
·
Received September 22, 2025
Report
- Report Number
- 2518422-2025-110418
- Event Type
- Malfunction
- Date Received
- September 22, 2025
- Date of Event
- September 8, 2025
- Report Date
- September 22, 2025
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- CBK
- 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 ALLEGING A TRILOGY EV300 VENTILATOR FAILED ACTIVE EXHALATION CONTROL MODULE (AECM) TESTING. THE DEVICE WAS NOT IN USE ON A PATIENT AT THE TIME OF THE OCCURRENCE. THE TRILOGY EV300 VENTILATOR REQUIRES REPLACEMENT OF THE AECM PROPORTIONAL AND 3-WAY SOLENOID VALVES TO ADDRESS THE ISSUE. DEVICE REPAIR HAS NOT YET BEEN COMPLETED. ON-SITE DEVICE REPAIR BY PHILIPS SERVICE ENGINEER IS PLANNED AND SCHEDULED. THE ROOT CAUSE HAS NOT BEEN CONFIRMED AT THIS TIME. 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 |
|---|---|---|---|---|---|---|---|
| 2511242 | TRILOGY EV300, USA | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | RESPIRONICS, INC. | DS2200X11B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |