FDA Adverse Event
No answer provided
Summary report: N
TRILOGY 100
MDR report key: 5113589
·
Received September 30, 2015
Report
- Report Number
- 2518422-2015-03080
- Event Type
- No answer provided
- Date Received
- September 30, 2015
- Date of Event
- September 3, 2015
- Report Date
- March 24, 2022
- Manufacturer
- RESPIRONICS, INC
- Product Code
- CBK
- UDI-DI
- 00606959015364
- PMA / PMN Number
- K083526
- Removal / Correction Number
- FDA RES 88071
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
- Health Professional
- N
Narratives
Description of Event or Problem · 1
THE MANUFACTURER RECEIVED INFORMATION ALLEGING A "SERVICE REQUIRED" ALARM CONDITION OCCURRED. THE DEVICE WAS NOT IN PATIENT USE. DURING THE EVALUATION OF THE DEVICE AT THE MANUFACTURER'S SERVICE CENTER, A "SERVICE REQUIRED" CODE WAS FOUND IN THE VENTILATOR'S DOWNLOADED ERROR LOG. THE DEVICE'S INTERNAL BATTERY WAS REPLACED TO ADDRESS THE ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 645977 | TRILOGY 100 | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | RESPIRONICS, INC | 1054260 | 00606959015364 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |