FDA Adverse Event Malfunction Summary report: N

V60 VENTILATOR

MDR report key: 3800768 · Received May 8, 2014

Report

Report Number
2031642-2014-00322
Event Type
Malfunction
Date Received
May 8, 2014
Report Date
April 14, 2014
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
MNT
PMA / PMN Number
K082660
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

DEVICE OUT OF WARRANTY; NO REQUEST FOR MANUFACTURER'S SERVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE VENTILATOR WAS ALARMING DUE TO A PRESSURE SENSORS FAILURE. THE CUSTOMER REPORTED THE DEVICE WAS NOT IN USE THEREFORE THERE WAS NO PATIENT INVOLVEMENT OR HARM. AS REPORTED, PRESSURE SENSOR FAILURES DURING NORMAL VENTILATION USE MAY AFFECT THE ACCURACY OF THE SYSTEM PRESSURE MEASUREMENT, WHICH MAY RESULT IN A VENT INOP OCCURRENCE. A VENT INOP ALARM DISPLAYS ON THE SCREEN, TURNS ON REMOTE ALARM INTERFACES, AND DISABLES OXYGEN FLOW AND BLOWER OPERATION. AS THE DEVICE IS OUT OF WARRANTY, THE FACILITY BIOMEDICAL ENGINEER CONTACTED MANUFACTURER'S FIELD SERVICE FOR ASSISTANCE. THE BIOMEDICAL ENGINEER REPORTED THE DATA ACQUISITION TO MOTOR CONTROLLER BOARD CABLE WAS FOUND DISCONNECTED. THE BIOMEDICAL ENGINEER REPORTED THE CABLE WAS RECONNECTED AND THE REPORTED PROBLEM WAS CORRECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
278867 V60 VENTILATOR VENTILATOR, CONTINUOUS MNT RESPIRONICS CALIFORNIA, INC. V60 NA

Patients

Seq Age Sex Outcome Treatment
1