FDA Adverse Event
Malfunction
Summary report: N
TRILOGY 202
MDR report key: 3871218
·
Received April 16, 2014
Report
- Report Number
- 2518422-2014-00614
- Event Type
- Malfunction
- Date Received
- April 16, 2014
- Date of Event
- March 26, 2014
- Report Date
- March 26, 2014
- Manufacturer
- RESPIRONICS INC.
- Product Code
- CBK
- PMA / PMN Number
- K093905
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE VENTILATOR WAS RETURNED TO THE MANUFACTURER FOR EVALUATION AND THE LCD DISPLAY CABLE WAS FOUND TO BE LOOSE. THE LCD DISPLAY CABLE WAS RECONNECTED TO ADDRESS THE ISSUE.
Description of Event or Problem · 1
THE MANUFACTURER RECEIVED INFO ALLEGING A VENTILATOR'S LCD DISPLAY SCREEN WAS BLANK. THERE WAS NO HARM OR INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 233649 | TRILOGY 202 | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | RESPIRONICS INC. | 1040000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |