FDA Adverse Event Malfunction Summary report: N

V60 VENTILATOR

MDR report key: 4133661 · Received October 1, 2014

Report

Report Number
2031642-2014-01130
Event Type
Malfunction
Date Received
October 1, 2014
Report Date
September 4, 2014
Manufacturer
RESPIRONICS CALIFORNIA, INC.
Product Code
MNT
PMA / PMN Number
K082660
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

OUT OF WARRANTY REPAIR. NO REQUEST FOR MANUFACTURER SERVICE.

Description of Event or Problem · 1

THE BIOMEDICAL ENGINEER REPORTED THAT HE WAS PERFORMING A PREVENTIVE MAINTENANCE ON THE VENT AND THE UNIT STOP WORKING AND WOULD NOT POWER ON. THE BIOMEDICAL ENGINEER SAID THAT HE INSTALLED ANOTHER POWER MANAGEMENT BOARD AND HE SMELL AN OVERHEATING ODOR AND THE UNIT STILL WOULD NOT POWER UP. THE VENTILATOR WAS NOT IN USE THEREFORE THERE WAS NO PATIENT INVOLVEMENT OR HARM. THE PRODUCT SUPPORT ADVISED HIM TO REPLACED THE PM BOARD, MOTOR CONTROLLER BOARD AND CPU BOARD AT THE SAME TIME. THE BIOMEDICAL ENGINEER STATED THAT AFTER REPLACING THE RECOMMENDED BOARDS THE UNIT POWERED UP. THE BIOMEDICAL ENGINEER TESTED THE UNIT AND PASSED ALL TESTING AND PREVENTIVE MAINTENANCE. THE UNIT IS NOW BACK IN SERVICE. POWER FAILURE DUE TO LOSS OF AC POWER MAY RESULT IN SHUTDOWN OF DEVICE DURING NORMAL VENTILATION OPERATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
611507 V60 VENTILATOR VENTILATOR, CONTINUOUS MNT RESPIRONICS CALIFORNIA, INC. V60 NA

Patients

Seq Age Sex Outcome Treatment
1