FDA Adverse Event Malfunction Summary report: N

TRILOGY

MDR report key: 23139280 · Received September 24, 2025

Report

Report Number
2518422-2025-110485
Event Type
Malfunction
Date Received
September 24, 2025
Date of Event
August 12, 2025
Report Date
September 24, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
003

Narratives

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 PHILIPS SERVICE TECHNICIAN RE-PERFORMED THE TESTING ON THE DEVICE, AND ALL TESTING ON THE DEVICE HAD PASSED. ADDITIONALLY, DURING THE SERVICE OF THE DEVICE, THE RUBBER FEET WAS REPLACED FOR EITHER MISSING OR DISPLACED AND IS UNRELATED TO THE REPORTABLE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2395082 TRILOGY VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. 1054260 110805

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown