FDA Adverse Event Malfunction Summary report: N

V60 VENTILATOR

MDR report key: 8380693 · Received February 28, 2019

Report

Report Number
2031642-2019-01198
Event Type
Malfunction
Date Received
February 28, 2019
Report Date
February 6, 2019
Manufacturer
RESPIRONICS CALIFORNIA, INC
Product Code
MNT
UDI-DI
00884838020054
PMA / PMN Number
K082660
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

DATE OF REPORT: 29MAY2019. DATE REC¿D BY MFR: 21MAY2019. THE MANUFACTURER¿S INTERNATIONAL SERVICE TECHNICIAN CONFIRMED THE REPORTED TOUCHSCREEN ISSUE. THE MANUFACTURER¿S INTERNATIONAL SERVICE TECHNICIAN REPLACED THE TOUCHSCREEN TO ADDRESS THE REPORTED PROBLEM. THE UNIT WAS CHECKED OVERALL, RUN IN TESTED, CLEANED AND FUNCTIONALLY TESTED AND NO ABNORMALITY WAS CONFIRMED. SUBMISSION OF A REPORT DOES NOT CONSTITUTE AN ADMISSION THAT MEDICAL PERSONNEL, USER FACILITY, IMPORTER, DISTRIBUTOR, MANUFACTURER, OR PRODUCT CAUSED OR CONTRIBUTED TO THE EVENT.

Additional Manufacturer Narrative · 1

DATE OF EVENT: (B)(6) 2019. DATE OF REPORT: 28FEB2019. INTERNATIONAL UDI # (B)(4). REPORTER: NO PHONE NUMBER PROVIDED. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE REACTION OF THE TOUCH PANEL HAD BEEN EXTREMELY BAD COMPARED TO OTHER V60'S SINCE THE UNIT WAS PURCHASED. NO PATIENT OR USER HARM WAS REPORTED. EVENT DATE NOT SPECIFIED; ESTIMATE USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
170117 V60 VENTILATOR VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE MNT RESPIRONICS CALIFORNIA, INC V60 00884838020054

Patients

Seq Age Sex Outcome Treatment
1