FDA Adverse Event Malfunction Summary report: N

TRILOGY100

MDR report key: 23240744 · Received October 7, 2025

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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