FDA Adverse Event
Malfunction
Summary report: N
V60 VENTILATOR
MDR report key: 5418559
·
Received February 9, 2016
Report
- Report Number
- 2031642-2016-00333
- Event Type
- Malfunction
- Date Received
- February 9, 2016
- Report Date
- January 19, 2016
- Manufacturer
- RESPIRONICS CALIFORNIA, INC
- Product Code
- MNT
- PMA / PMN Number
- K082660
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.
Additional Manufacturer Narrative · 1
THE MANUFACTURER'S INTERNATIONAL SERVICE TECHNICIAN CONFIRMED THE REPORTED ISSUE. REVIEW OF THE DEVICE DIAGNOSTIC HISTORY INDICATED A BATTERY FAILED REFERENCE FAILURE. NO REPAIRS WERE DONE. THE CUSTOMER DID NOT APPROVE THE PURCHASE ORDER FOR SERVICING THE DEVICE, OR FOR A BATTERY REPLACEMENT.
Description of Event or Problem · 1
THE INTERNATIONAL CUSTOMER REPORTED AN ISSUE WITH THE BATTERY. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 79302 | V60 VENTILATOR | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE | MNT | RESPIRONICS CALIFORNIA, INC | V60 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |