MAUDE Adverse Event Report: RESPIRONICS RESPIRATORY DRUG DELIVERY (UK) LTD INNOSPIRE ESSENCE; NEBULIZER

Model Number 1112261

Device Problem Degraded (1153)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Type  malfunction  

Event Description

The manufacturer received this device for evaluation in response to a user's report of a "faulty nebulizer".There was no initial report of exposed wiring.There was no report of patient harm or injury associated with this reported event.The exact date of the reported event is unknown.Upon receipt of the device, the manufacturer noted exposed wiring to the ac power cord.The root cause of the event was unable to be determined, however, it is likely the ac power cord had been exposed to forces beyond intended design.The innospire essence is intended to provide a source of compressed air for medical purposes.It is to be used with a pneumatic (jet) nebulizer to produce aerosol particles of medication for respiratory therapy for both children and adults.This device is not labeled for life support.Labeling included with the device warns the user, "it is recommended to have a backup device (e.G.Mdi or battery-operated compressor) for respiratory delivery in case a situation arises when your nebulizer cannot be used (e.G.During a power outage or if your compressor becomes inoperable for any reason)." labeling also warns the user that the power supply cord cannot be replaced by the user.If the power cord becomes damaged, the user is instructed to contact their provider or the manufacturer for replacement as there is no service option.Based on the information available, the manufacturer concludes no further action is necessary, and will continue to monitor complaints.

• Brand Name: INNOSPIRE ESSENCE
• Type of Device: NEBULIZER
• Manufacturer (Section D): RESPIRONICS RESPIRATORY DRUG DELIVERY (UK) LTD; chichester business park; city fields way, tangmere; chichester, uk po20 2ft, ; UK
• Manufacturer (Section G): RESPIRONICS RESPIRATORY DRUG DELIVERY (UK) LTD; chichester business park; city fields way, tangmere; chichester, uk po20 2ft, ; UK
• Manufacturer Contact: adam price ; chichester business park; city fields way, tangmere; chichester, uk po20 2ft, ; UK
• MDR Report Key: 9646659
• MDR Text Key: 195527960
• Report Number: 9681154-2020-00001
• Device Sequence Number: 1
• Product Code: CAF
• Combination Product (y/n): N
• Reporter Country Code: UK
• PMA/PMN Number: K042655
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer,foreign
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/06/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/30/2020
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 1112261
• Device Catalogue Number: 1112261
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 01/06/2020
• Date Manufacturer Received: 01/06/2020
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 09/27/2017
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1