FDA Adverse Event
Malfunction
Summary report: N
V60 VENTILATOR
MDR report key: 8967316
·
Received September 5, 2019
Report
- Report Number
- 2031642-2019-08183
- Event Type
- Malfunction
- Date Received
- September 5, 2019
- Report Date
- August 8, 2018
- Manufacturer
- RESPIRONICS CALIFORNIA, INC
- Product Code
- MNT
- PMA / PMN Number
- K082660
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DATE OF EVENT: (B)(6) 2018.DATE OF REPORT: 09/05/2019.THE FRONT BEZEL CASE AND NAV RING WERE REPLACED.
Description of Event or Problem · 1
THE CUSTOMER REPORTED A FAILED NAVIGATION-RING (NAV-RING). THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 761802 | V60 VENTILATOR | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE | MNT | RESPIRONICS CALIFORNIA, INC | V60 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |