FDA Adverse Event Malfunction Summary report: N

TRILOGY 100

MDR report key: 24718821 · Received March 30, 2026

Report

Report Number
2518422-2026-111616
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
October 11, 2024
Report Date
March 27, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959022744
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE CAPA PROCESS IDENTIFIED COMPLAINTS NOT BEING CREATED FOR QUALITY ISSUES FOUND DURING THIRD PARTY SERVICING. BASED ON A REVIEW OF RECORDS IMPACTED BY THE IDENTIFIED ISSUE, IT WAS DETERMINED THAT THIS RECORD NEEDED TO BE CORRECTED AND IS NOW BEING SUBMITTED ACCORDINGLY.

Description of Event or Problem · 0

A TRILOGY 100 VENTILATOR WAS RETURNED TO A THIRD-PARTY SERVICE CENTER FOR FOAM REMEDIATION ON THE DEVICE. THERE WAS NO HARM OR INJURY REPORTED. THERE WAS NO EVIDENCE THE DEVICE WAS IN PATIENT USE. THE DEVICE WAS RETURNED TO THE SERVICE CENTER, DURING FUNCTIONAL TESTING, THE DEVICE FAILED DUE TO A LOW FLOW CONDITION. REWORK WAS INITIATED, INCLUDING ADDING HLR, BI1, AND F1 STEPS FOR RETESTING; HOWEVER, NO REPAIRS WERE COMPLETED AS THE CUSTOMER REQUESTED THE UNIT BE RETURNED UNSERVICED. VISUAL INSPECTION DID NOT IDENTIFY ANY CONTAMINATION OR SIGNIFICANT ABNORMALITIES. DURING EVALUATION, AN ERROR CODE WAS OBSERVED, INDICATING A NEED TO CHECK INTERNAL TUBING. ADDITIONAL FINDINGS INCLUDED MISSING RUBBER FEET AND WORN HANDLE O-RINGS REQUIRING REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
781733 TRILOGY 100 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. 1054096 00606959022744

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown