FDA Adverse Event Malfunction Summary report: N

TRILOGY 100

MDR report key: 4973358 · Received August 5, 2015

Report

Report Number
2518422-2015-02260
Event Type
Malfunction
Date Received
August 5, 2015
Date of Event
July 8, 2015
Report Date
July 8, 2015
Manufacturer
RESPIRONICS, INC
Product Code
CBK
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE MANUFACTURER RECEIVED INFORMATION ALLEGING A VENTILATOR WAS CONTINUOUSLY ALARMING. THERE WAS NO HARM OR INJURY REPORTED. DURING THE EVALUATION OF THE DEVICE AT THE MANUFACTURER'S SERVICE CENTER, AN ERROR CODE RELATED TO THE CHARGING OF THE INTERNAL BATTERY WAS OBSERVED. THE DEVICE'S INTERNAL BATTERY WAS REPLACED TO ADDRESS THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
519033 TRILOGY 100 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC 1054260

Patients

Seq Age Sex Outcome Treatment
1