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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FISHER & PAYKEL HEALTHCARE LTD RESPIRATORY HUMIDIFIER; BTT

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FISHER & PAYKEL HEALTHCARE LTD RESPIRATORY HUMIDIFIER; BTT Back to Search Results
Model Number MR850
Device Problem Device Alarm System (1012)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
(b)(4) we are currently in the process of completing our investigation.We will provide a follow up report upon completion of our investigation.
 
Event Description
A healthcare facility in saint louis reported that the audible alarms of a mr850 respiratory humidifier were not functioning.There was no reported patient involvement.
 
Manufacturer Narrative
(b)(4).Method: the subject mr850 respiratory humidifier was returned to the fisher & paykel (f&p) healthcare service centre in the usa where it was inspected by a trained f&p healthcare service technician.The unit was performance tested and the speaker was confirmed to be faulty.The pcb was replaced and the subject pcb was received by f&p healthcare new zealand for additional evaluation.Results: performance testing of the subject pcb confirmed that the audible alarm was not functioning.There was no visible damage to the speaker and testing confirmed that the speaker impedance was out of specification.Conclusion: our investigation was unable to determine the cause of the reported speaker fault.The mr850 product technical manual contains a maintenance schedule which instructs the user to conduct annual visual checking and performance testing of the mr850 heater base.In addition, the product technical manual also states that "all servicing procedures should be followed by a humidifier test, and an electrical safety test to ensure proper operation".The mr850 is equipped with visual alarm indicators in addition to the audible alarm.
 
Event Description
A healthcare facility in saint louis reported that the audible alarm of a mr850 respiratory humidifier was not functioning.There was no reported patient involvement.
 
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Brand Name
RESPIRATORY HUMIDIFIER
Type of Device
BTT
Manufacturer (Section D)
FISHER & PAYKEL HEALTHCARE LTD
15 maurice paykel place
east tamaki
auckland, 2013
NZ  2013
Manufacturer (Section G)
FISHER & PAYKEL HEALTHCARE LTD
15 maurice paykel place
east tamaki
auckland, 2013
NZ   2013
Manufacturer Contact
omid taheri
17400 laguna canyon road
suite 300
irvine, CA 92618
8007923912
MDR Report Key18585232
MDR Text Key333825598
Report Number9611451-2024-00043
Device Sequence Number1
Product Code BTT
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K110019
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility
Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date 12/27/2023
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 NumberMR850
Device Catalogue NumberMR850
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 12/27/2023
Initial Date FDA Received01/25/2024
Supplement Dates Manufacturer Received03/13/2024
Supplement Dates FDA Received04/11/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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