TRILOGY100
Report
- Report Number
- 2518422-2025-049515
- Event Type
- Malfunction
- Date Received
- October 7, 2025
- Date of Event
- August 25, 2025
- Report Date
- May 22, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- CBK
- PMA / PMN Number
- K083526
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- 003
Narratives
ON PREVIOUSLY SUBMITTED REPORT, A VENTILATOR WAS RETURNED TO THE MANUFACTURER FOR SERVICE. THERE WAS NO HARM OR INJURY REPORTED. DURING THE EVALUATION OF THE DEVICE AT THE MANUFACTURER'S SERVICE CENTER, THE DEVICE FAILED A TEST STEP DURING TESTING FOR LOW OXYGEN FLOW. THE DEVICE'S INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH WERE REPLACED TO ADDRESS THE ISSUE. THE DEVICE PASSED ALL TESTING. ADDITIONALLY, AFTER RE-EVALUATION, IT WAS DETERMINED THAT THE TEST FAIL WAS INCORRECTLY MENTIONED. BASED ON THE INFORMATION AVAILABLE AT THIS TIME OF INVESTIGATION, IT HAS BEEN DETERMINED THAT THERE IS NO EVIDENCE THAT THE DEVICE MALFUNCTIONED IN A MANNER THAT WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO RECUR. THERE WAS NO SERIOUS PATIENT HARM OR INJURY ASSOCIATED WITH THIS DEVICE AND NO INCREASED RISK TO THE INTENDED USER. BASED ON THE INFORMATION AVAILABLE, IT IS A NON-REPORTABLE COMPLAINT.
A VENTILATOR WAS RETURNED TO THE MANUFACTURER FOR SERVICE. THERE WAS NO HARM OR INJURY REPORTED. DURING THE EVALUATION OF THE DEVICE AT THE MANUFACTURER'S SERVICE CENTER, THE DEVICE FAILED A TEST STEP DURING TESTING FOR LOW OXYGEN FLOW. THE DEVICE'S INLET AIR PATH, AIR PATH FOAM, AND FLOW PATH WERE REPLACED TO ADDRESS THE ISSUE. THE DEVICE PASSED ALL TESTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 523794 | TRILOGY100 | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | RESPIRONICS, INC. | 1054260 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |