FDA Adverse Event Malfunction Summary report: N

VOCSN

MDR report key: 23316170 · Received October 16, 2025

Report

Report Number
3013095415-2025-00899
Event Type
Malfunction
Date Received
October 16, 2025
Date of Event
September 23, 2025
Report Date
October 16, 2025
Manufacturer
VENTEC LIFE SYSTEMS, INC
Product Code
CBK
UDI-DI
00855573007822
PMA / PMN Number
K162877
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: A VENTEC LIFE SYSTEMS, INC. DBA REACT HEALTH VENTILATION PRODUCT SUPPORT SPECIALIST FOLLOWED UP WITH THE RESPIRATORY THERAPIST TO PROVIDE TROUBLESHOOTING ASSISTANCE. THE VENTILATION PRODUCT SUPPORT SPECIALIST RECOMMENDED THAT THE RESPIRATORY THERAPIST HAVE THE CAREGIVER UPDATE THE DEVICE'S ALARM SETTINGS. SPECIFICALLY, TO LOWER THE PATIENT CIRCUIT DISCONNECT ALARM TO 2 BREATHS. IT WAS LATER CONFIRMED BY THE RESPIRATORY THERAPIST THAT UPDATING THE DEVICE ALARM SETTINGS RESOLVED THE REPORTED ISSUE. THE DEVICE WAS NOT RETURNED TO VENTEC FOR AN EVALUATION. BASED ON THE INFORMATION AVAILABLE, VENTEC DETERMINED THAT THE CAUSE OF THE REPORTED ISSUE WAS USE ERROR AND NOT THE RESULT OF A DEVICE MALFUNCTION.

Description of Event or Problem · 0

IT WAS REPORTED TO VENTEC THAT THE DEVICE'S ALARMS WERE NOT WORKING AS EXPECTED. THE PATIENT'S CAREGIVER HAD ADVISED THE INITIAL REPORTER, A RESPIRATORY THERAPIST, THAT THE PATIENT CIRCUIT DISCONNECT ALARM DID NOT OCCUR AS EXPECTED DURING USE. THERE WAS PATIENT INVOLVEMENT ASSOCIATED WITH THE REPORTED EVENT; HOWEVER, THERE WERE NO REPORTS OF PATIENT HARM AS A RESULT OF THE REPORTED ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2694809 VOCSN VENTILATOR, CONTINUOUS, FACILITY USE CBK VENTEC LIFE SYSTEMS, INC V*HOME, ENGLISH 00855573007822

Patients

Seq Age Sex Outcome Treatment
1 7 YR Male