FDA Adverse Event Malfunction Summary report: N

TRILOGY 100

MDR report key: 8883358 · Received August 12, 2019

Report

Report Number
2518422-2019-01703
Event Type
Malfunction
Date Received
August 12, 2019
Date of Event
July 19, 2019
Report Date
July 19, 2019
Manufacturer
RESPIRONICS, INC
Product Code
CBK
PMA / PMN Number
K083526
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
003

Narratives

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, ERROR CODES RELATED TO THE CHARGING OF THE INTERNAL BATTERY WERE OBSERVED. THE DEVICE'S INTERNAL BATTERY AND POWER MANAGEMENT BOARD WERE REPLACED TO ADDRESS THE ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
678722 TRILOGY 100 VENTILATOR, CONTINUOUS, FACILITY USE CBK RESPIRONICS, INC 1054096

Patients

Seq Age Sex Outcome Treatment
1