FDA Adverse Event Malfunction Summary report: N

MR850

MDR report key: 24705936 · Received March 26, 2026

Report

Report Number
9611451-2026-01091
Event Type
Malfunction
Date Received
March 26, 2026
Report Date
March 27, 2026
Manufacturer
FISHER & PAYKEL HEALTHCARE
Product Code
BTT
UDI-DI
09420012407276
PMA / PMN Number
K110019
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4). SECTION G4: THE MR850GJU IS NOT SOLD IN THE USA BUT IT IS SIMILAR TO A PRODUCT WHICH IS SOLD IN THE USA. THE 510(K) FOR THE SIMILAR PRODUCT IS K110019. FISHER & PAYKEL (F&P) HEALTHCARE ARE CURRENTLY IN THE PROCESS OF OBTAINING FURTHER INFORMATION REGARDING THE REPORTED EVENT. WE HAVE ALSO REQUESTED THE RETURN OF THE SUBJECT MR850GJU RESPIRATORY HUMIDIFIER TO F&P HEALTHCARE NEW ZEALAND FOR INVESTIGATION. WE WILL PROVIDE A FOLLOW UP REPORT UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

A DISTRIBUTOR IN JAPAN REPORTED ON BEHALF OF A HEALTHCARE FACILITY, THAT THE AUDIBLE ALARM OF AN MR850 RESPIRATORY HUMIDIFIER WAS NOT FUNCTIONING. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
767576 MR850 RESPIRATORY HUMIDIFIER BTT FISHER & PAYKEL HEALTHCARE MR850GJU 2101579373 09420012407276

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown