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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS, INC. RESPIRONICS; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE

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RESPIRONICS, INC. RESPIRONICS; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE Back to Search Results
Model Number V60
Device Problem Image Display Error/Artifact (1304)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/29/2024
Event Type  malfunction  
Manufacturer Narrative
E1 reporting institution phone number - (b)(6).Reporter phone number - (b)(6).
 
Event Description
Philips received a complaint on the v60 ventilator indicating that there was a vertical stripe appearing on the device¿s monitor.The device was reported to be outside of use at the time of the reported problem.There was no patient or user harm reported.A remote service engineer spoke with the customer who communicated the device issue but stated that the touchscreen was working.A field service engineer (fse) went to the customer¿s site and replaced the 2nd generation liquid crystal display (lcd) to resolve the vertical stripe issue.The fse completed a performance verification test (pvt), which the device passed.The device was returned to the customer ready for clinical use.
 
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Brand Name
RESPIRONICS
Type of Device
VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE
Manufacturer (Section D)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA 15668
Manufacturer (Section G)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA 15668
Manufacturer Contact
kimberly shelly
1001 murry ridge lane
murrysville, PA 15668
7247330200
MDR Report Key18874713
MDR Text Key337321015
Report Number2518422-2024-13144
Device Sequence Number1
Product Code MNT
UDI-Device Identifier00884838009868
UDI-Public00884838009868
Combination Product (y/n)N
Reporter Country CodeIT
PMA/PMN Number
K102985
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial
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 NumberV60
Device Catalogue Number1053615
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/29/2024
Initial Date FDA Received03/11/2024
Date Device Manufactured05/22/2015
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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