Brand Name | RESPIRONICS V60 |
Type of Device | VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE |
Manufacturer (Section D) |
|
MDR Report Key | 18517693 |
MDR Text Key | 333024015 |
Report Number | MW5150198 |
Device Sequence Number | 1 |
Product Code |
MNT
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
01/09/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | V60 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 01/12/2024 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Life Threatening;
|
Patient Age | 86 YR |
Patient Sex | Female |
Patient Weight | 90 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | Black Or African American |
|
|