FDA Adverse Event Malfunction Summary report: N

STELLAR 100 - UK

MDR report key: 4342195 · Received November 7, 2014

Report

Report Number
3004604967-2014-00038
Event Type
Malfunction
Date Received
November 7, 2014
Manufacturer
RESMED GERMANY INC.
Product Code
MNT
PMA / PMN Number
K122715
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE ENGINEERING INVESTIGATION OF THE RETURNED UNIT DETERMINED THE DEVICE WAS SWITCHED OFF MANUALLY. THERE WAS NO FAULT FOUND. THE UNIT WAS WORKING CORRECTLY AND ACCORDING TO SPECIFICATION. AS INDICATED BY THE REPORTER, THE DEVICE WAS USED FOR A VENTILATOR-DEPENDENT PATIENT WHILE THE INTENDED USE IS LIMITED TO NON-DEPENDENT PATIENTS. (B)(4).

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
718460 STELLAR 100 - UK CONTINUOUS VENTILATOR (FACILITY USE) MNT RESMED GERMANY INC.

Patients

Seq Age Sex Outcome Treatment
1