FDA Adverse Event
Malfunction
Summary report: N
V60 VENTILATOR
MDR report key: 7441302
·
Received April 18, 2018
Report
- Report Number
- 2031642-2018-00817
- Event Type
- Malfunction
- Date Received
- April 18, 2018
- Report Date
- March 21, 2018
- Manufacturer
- RESPIRONICS CALIFORNIA, INC
- Product Code
- MNT
- PMA / PMN Number
- K082660
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.
Additional Manufacturer Narrative · 1
DATE OF REPORT: 09/07/2018. DATE RECEIVED BY MANUFACTURER: 05/07/2018. (UDI); (METHOD, RESULTS, CONCLUSION CODES); PHILIP'S SERVICE ENGINEER (SE) INSPECTED THE DEVICE AND REPLACED THE BATTERY. THE VENTILATOR PASSED ALL TESTING AND WAS RETURNED TO USE.
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE UNIT WILL NOT OPERATE ON BATTERY. NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 283206 | V60 VENTILATOR | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE | MNT | RESPIRONICS CALIFORNIA, INC | V60 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |