Class 1 Device Recall Trilogy Evo Universal

• Date Initiated by Firm: March 01, 2023
• Date Posted: April 03, 2023
• Recall Status: Open, Classified
• Recall Number: Z-1289-2023
• Recall Event ID: 91832
• 510(K)Number: K181170
• Product Classification: Ventilator, continuous, facility use - Product Code CBK
• Product: Trilogy Evo Universal Portable Electric Ventilator, Model Number DS2000X11B
• Code Information: Model number: DS2000X11B, UDI-DI: 606959052000. Serial Numbers: H27736231F4BE, H277362379188, H27736246CD09, H277372867812, H27737288916C, H2773729661CA, H27737302AA2A, H27737306EC0E, H2773730914F9, H27737331B2D9, H27737344A87C, H277373468B6E, H277373596A41, H277373815671, H2773738401DC, H2773740998FC, H277374132E7E, H277374212704, H277374525897, H277374740E11, H277374848DD9, H27737492F137, H27737496B713, H277375206C51, H277375242A75, H2773757677DF, H277375789EA1, H27737583A3BA, H27737593BA62, H27737607C43A, H27737614EF79, H27737624C511, H27737635CD40, H27737646B2D3, H27737656AB0B, H27737664A271, H2773767871C5, H277376870AFA, H27737700EA59, H27737702C94B, H277378459053, H27737846A2C8, H27737847B341, H27737853ECBD, H277378549802, H27737869698F, H277378779929, H277378925494, H277378970339, H2773792845BA, H27737966CBA4, H27737971A6C3, H277379821790, H2773801950BC, H27738021F69C, H277380378A72, H27738043815E, H27738052890F, H27738057DEA2, H277380680C3D, H277380801A65, H277380867F53, H27738088962D, H277380933126, H277381019FF0, H2773814974D8, H27738152D3D3, H27738154B6E5, H277381587C89, H27738160DAA9, H27738171D2F8, H27738176A647, H27738177B7CE, H27738188CCF1, H277381963C57, H27742204CB4B, H27742215C31A, H27742217E008, H27742227CA60, H27742236C231, H27742240EA0F, H27742245BDA2, H27742251E25E, H27742262FAAD, H27742273F2FC, H2774229368EC, H27742305801E, H277423085BFB, H27742321F58A, H277423378964, H2774234293C1, H27742362A071, H277423691EA2, H27742377EE04, H277423823A61, H277423832BE8, H27742396659D, H277424050C1B, H277424072F09, H277424242E22, H277424253FAB, H277424260D30, H27742428E44E, H27742429F5C7, H27742439EC1F, H2847032948F1, H28470375FC25, H284703930303, H28470409F744, H2847041707E2, H28470428D57D, H284704444BC1, H284704647871, H284704828757, H284705573A5E, H28470582DD8B, H28470601CEB4, H28470617B25A, H284706438AC6, H284706582DCD, H284706832366, H284707019468, H28470716F90F, H28470731BE00, H28470747963E, H28470760D131, H28470776ADDF, H28470810D6FE, H28470823CE0D, H284708493587, H284708609BF6, 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• Recalling Firm/ Manufacturer: Philips Respironics, Inc.; 1001 Murry Ridge Ln; Murrysville PA 15668-8517
• For Additional Information Contact: Philips Customer Service; 800-345-6443
• Manufacturer Reason for Recall: The accuracy of delivered oxygen may deviate below the required tolerance of 5% from setpoint when providing high concentration oxygen therapy. Additionally, if equipped, the internal FiO2 sensor may indicate a value higher than the device is actually delivering. This may lead to under delivery of oxygen.
• FDA Determined Cause: Under Investigation by firm
• Action: An URGENT Medical Device Correction notification letter dated 3/1/23 was sent to customers. Actions that should be taken by the user in order to prevent risks for patients. Until a solution is provided by Philips Respironics, patients prescribed Trilogy EV300, Trilogy Evo O2, or Trilogy Evo Universal that use high pressure oxygen, the following precautions must be observed: 1. Continuously monitor oximetry (SpO2) of the patient and follow your institution s protocol for monitoring of arterial blood gas measurements to ensure that the patient is receiving adequate oxygenation. 2. Use an external FiO2 monitor for any patient requiring FiO2 e70% to identify under delivery of oxygen. Switch to an alternative ventilator if an external FiO2 monitor is not available. 3. Maintain an immediately available back up device that will allow rapid transition to a different oxygen delivery method or alternative ventilator if monitoring suggests FiO2 is not being sufficiently delivered. Distribute this notice to all employees in your organization that need to be aware. Actions planned by Philips Respironics to correct the problem. Philips Respironics will release a software update that will address the issue. This software will be available free of charge to all Trilogy EV300, Trilogy Evo O2, and Trilogy Evo Universal users. Additional details will be provided when the update is available. In the interim, please take the actions above in order to prevent risk for your patients. If you need any further information or support concerning this issue, please contact your local Philips representative or Philips Respironics Customer Service at 1 (800) 345 6443.
• Quantity in Commerce: 62826 total devices
• Distribution: Worldwide distribution. US Nationwide including Puerto Rico, and countries of AE, AR, AT, AU, BD, BE, BG, BO, BR, CA, CH, CL, CN, CO, CZ, DE, DK, EC, EE, EG, ES, FI, FR, GB, GE, GT, HK, HR, HU, ID, IL, IE, IN, IT, JP, KW, LB, LT, MM, MQ, MX, MY, NG, NL, NO, NP, NZ, PE, PF, PH, PK, PL, PT, QA, RO, RS, RU, SA, SG, SI, SK, TH, TR, TW, UA, VN, and ZA.
• Total Product Life Cycle: TPLC Device Report

¹ A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
² Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
³ The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.

• 510(K) Database: 510(K)s with Product Code = CBK and Original Applicant = Respironics Inc.