FDA Adverse Event Malfunction Summary report: N

BIPAP A40

MDR report key: 24782055 · Received April 3, 2026

Report

Report Number
2518422-2026-010457
Event Type
Malfunction
Date Received
April 3, 2026
Date of Event
March 19, 2026
Report Date
April 3, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
MNT
UDI-DI
00606959067677
PMA / PMN Number
K121623
Removal / Correction Number
Z-1813-2024
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED FAILURE OF VENTILATOR INOPERATIVE IS ACCOMMODATED IN THE PRODUCT RISK MANAGEMENT FILE AS BEING LINKED TO HAZARD WITH DESCRIPTION LOSS OF FUNCTION/LOSS OF PRIMARY FUNCTION. A FIELD ACTION WAS INITIATED WITH RECORD ID Z-1813-2024 AND CONSISTED OF A FIELD SAFETY NOTICE. COMPLAINTS FOR THIS FAILURE ARE REVIEWED VIA THE POST MARKET COMPLAINT TRENDING AND ESCALATION PROCESSES TO ASSESS FOR THE OBSERVED PROBABILITY LEVELS AND COMPARE THEM WITH THE PREDICTED LEVELS IN THE RISK FILE FOR THE HAZARDS LINKED TO THE FAILURE. AS OF THE DATE OF SUBMISSION FOR THIS REPORT, THERE IS NO FURTHER INDICATION THAT COMPLAINTS FOR THE FAILURE IN QUESTION HAS LED TO UNACCEPTABLE INCREASE IN PROBABILITY LEVELS FOR THE HAZARDOUS SITUATIONS IN SCOPE, AND THEREFORE NO FURTHER ACTION WILL BE PURSUED. QA CONTINUES TO MONITOR COMPLAINTS FOR THIS ISSUE PER THE CADENCE IN THE COMPLAINT TRENDING PROCEDURES.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION FROM A CUSTOMER THAT A VENTILATOR INOPERATIVE CONDITION WAS REPORTED ON A BIPAP A40 DEVICE. THIS ISSUE HAS BEEN IDENTIFIED UNDER THE FSN 2023-CC-SRC-039 DUE TO INTERRUPTIONS AND/OR LOSS OF THERAPY DUE TO A VENTILATION INOPERATIVE ALARM. THERE WAS NO SERIOUS PATIENT HARM OR INJURY THAT OCCURRED OR WAS REPORTED. THE DEVICE WAS RETURNED TO A THIRD-PARTY SERVICE CENTER FOR REPAIR. DURING EVALUATION OF THE DEVICE, THE SERVICE CENTER VERIFIED A VENTILATOR INOPERATIVE CONDITION. THE TECHNICIAN REPLACED THE DEVICE'S MAIN PCA TO ADDRESS THE ISSUE. THE DEVICE PASSED FINAL TEST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
150640 BIPAP A40 VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE MNT RESPIRONICS, INC. 1111169 00606959067677

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown