FDA Adverse Event Malfunction Summary report: N

K083526

MDR report key: 7490162 · Received May 7, 2018

Report

Report Number
2518422-2018-01081
Event Type
Malfunction
Date Received
May 7, 2018
Manufacturer
RESPIRONICS, INC.
Product Code
CBK
UDI-DI
00606959022744
PMA / PMN Number
K083526
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
SERVICE AND TESTING PERSONNEL

Narratives

Additional Manufacturer Narrative · 1

DEVICE HAS BEEN EVALUATED BUT NOT REPAIRED.

Description of Event or Problem · 1

A VENTILATOR WAS RETURNED TO THE MANUFACTURER FOR SERVICE. 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 NEEDS TO BE REPLACED TO ADDRESS THE ISSUE. THE DEVICE FAILED A STEP DURING TESTING. THE DEVICE'S SENSOR BOARD NEEDS TO BE REPLACED TO ADDRESS THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
332577 K083526 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC. 1054096 00606959022744

Patients

Seq Age Sex Outcome Treatment
1