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