FDA Adverse Event Malfunction Summary report: N

V60 VENTILATOR

MDR report key: 3903327 · Received June 30, 2014

Report

Report Number
2031642-2014-00583
Event Type
Malfunction
Date Received
June 30, 2014
Report Date
June 4, 2014
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
MNT
PMA / PMN Number
K082660
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

FACTORY ANALYSIS OF A RETURNED POWER MANAGEMENT PCB BOARD REVEALED A DIODE FAILURE THAT MAY RESULT IN THE UNIT SHUTTING DOWN DURING USE IN NORMAL VENTILATION MODE OPERATION. UPON LOSS OF POWER, A POWER FAIL ALARM WILL ACTIVATE AND IF IN USE ALTERNATIVE VENTILATION SHOULD BE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
379524 V60 VENTILATOR VENTILATOR, CONTINUOUS MNT RESPIRONICS CALIFORNIA, INC. V60 NA

Patients

Seq Age Sex Outcome Treatment
1