FDA Adverse Event Injury Summary report: N

TRILOGY EVO, JAPAN

MDR report key: 25340242 · Received May 29, 2026

Report

Report Number
2518422-2026-017658
Event Type
Injury
Date Received
May 29, 2026
Date of Event
May 26, 2026
Report Date
May 29, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959051973
PMA / PMN Number
K181166
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION FROM A FAMILY MEMBER ALLEGING THE PATIENT EXPERIENCED A TEMPORARILY DECREASED IN THEIR PERIPHERAL OXYGEN SATURATION (SPO2) AFTER THE DEVICE HAD ACCIDENTLY DROPPED ONTO THE FLOOR WHILE THE PATIENT WAS USING A TRILOGY EVO DEVICE. THE PATIENT'S SPO2 LEVEL HAD DROPPED FROM LOW 90'S TO THE LOW 70'S. THE VENTILATION WAS RESUMED AFTER THEY HAD REINFORCED THE DAMAGE AREA WITH VINYL TAPE, AND THE PATIENT'S CONDITION RECOVERED. A CIRCUIT DISCONNECTED ALARM OCCURRED ON THE DEVICE AT THE TIME OF THE EVENT. FURTHER INFORMATION THAT UPON REPORTING TO THE ATTENDING PHYSICIAN VIA ME, WE RECEIVED THEIR OPINION THAT THIS CASE RESULTED FROM PATIENT INATTENTION, AND NO PROBLEMS ARE OBSERVED ON THE DEVICE SIDE. THERE WAS NO ALLEGATION OF SERIOUS OR PERMANENT HARM OR INJURY. NO MEDICAL INTERVENTION WAS SPECIFIED BY THE PATIENT. PHILIPS IS CURRENTLY INVESTIGATING THIS COMPLAINT. THE DEVICE HAS BEEN RECEIVED BY THE MANUFACTURER AND IS CURRENTLY AWAITING EVALUATION. A SUPPLEMENTAL REPORT WILL BE SUBMITTED AS DUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212473 TRILOGY EVO, JAPAN VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. RJP2110X16B 00606959051973

Patients

Seq Age Sex Outcome Treatment
1