FDA Adverse Event Malfunction Summary report: N

TRILOGY 100 VENTILATOR, U.S.A - BT

MDR report key: 23454521 · Received November 3, 2025

Report

Report Number
2518422-2025-111548
Event Type
Malfunction
Date Received
November 3, 2025
Date of Event
October 8, 2025
Report Date
November 3, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959026353
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

A TRILOGY 100 VENTILATOR, U.S.A - BT DEVICE WAS RETURNED TO THE MANUFACTURER FOR ROUTINE PREVENTATIVE MAINTENANCE/ FLOW PATH REPLACEMENT. THERE WAS NO ALLEGATION OF PATIENT HARM. THE DEVICE WAS NOT REPORTED TO BE IN PATIENT USE. DURING THE FLOW PATH REPLACEMENT AT THE MANUFACTURER'S SERVICE CENTER, THE ACTIVE EXHALATION CONTROL MODULE (AECM) WAS DAMAGED DUE TO ASSEMBLER ERROR. THE AECM WAS REPLACED DUE TO PHYSICAL DAMAGE. THE DEVICE FAILED TO COMMUNICATE WITH THE TEST STATION. THE DEVICE COMMUNICATED WITH TRILOGY TOOLBOX BUT WOULD NOT COMMUNICATE WITH THE TEST STATION. AFTER INVESTIGATION, FOUND DEVICE HAS AN ISSUE WITH THE CPLD CHIP ON THE SYSTEM BOARD. THE SYSTEM BOARD HAS BEEN REPLACED DUE TO CPLD CHIP AND COMMUNICATION ISSUE. DEVICE OPERATES AS IT SHOULD - SENT DEVICE TO RUN IN AND IS AWAITING TESTING. IT WAS UPON FINAL TESTING OF THE DEVICE, THAT IT CAME TO FAIL FOR THE NURSE CALL TEST. PENDING CUSTOMER APPROVAL, THE DEVICE'S INTERFACE BOARD WILL NEED TO BE REPLACED TO ADDRESS THIS PROTECTIVE MEASURE ISSUE. 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
1078241 TRILOGY 100 VENTILATOR, U.S.A - BT VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. 1054260B 00606959026353

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown