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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS CALIFORNIA, INC V60 VENTILATOR; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE

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RESPIRONICS CALIFORNIA, INC V60 VENTILATOR; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE Back to Search Results
Model Number V60
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Date of event: (b)(6) 2019.Date of report: 11feb2019.(b)(4).The service engineer (se) inspected the device and verified the reported issue.The se replaced the touchscreen to resolve the reported issue.
 
Event Description
It was reported that av60 ventilator experienced a "touch screen problem".The ventilator was not in use on a patient at the time of the reported event.The event date was not specified; estimate used.
 
Manufacturer Narrative
Date of event : (b)(6) 2019, date rec¿d by mfr : 13feb2019.Clarification was received that the touchscreen was unresponsive.Submission of a report does not constitute an admission that medical personnel, user facility, importer, distributor, manufacturer, or product caused or contributed to the event.
 
Event Description
It was reported that the touchscreen on a v60 ventilator was unresponsive.The ventilator was not in use on a patient at the time of the reported event.The event date was not specified; estimate used.
 
Manufacturer Narrative
Date of report : 23jul2019, date rec¿d by mfr :01jul2019.A touch screen assembly was return for analysis.Failure analysis on the returned touch screen shows that the ul_lr and ur_ll resistance and ul_lr/ ur_ll resistance ratio were out of specification.Submission of a report does not constitute an admission that medical personnel, user facility, importer, distributor, manufacturer, or product caused or contributed to the event.
 
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Brand Name
V60 VENTILATOR
Type of Device
VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE
Manufacturer (Section D)
RESPIRONICS CALIFORNIA, INC
2271 cosmos court
carlsbad CA 92011
MDR Report Key8326310
MDR Text Key135889342
Report Number2031642-2019-00821
Device Sequence Number1
Product Code MNT
UDI-Device Identifier00884838020054
UDI-Public00884838020054
Combination Product (y/n)N
PMA/PMN Number
K082660
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,user facility
Type of Report Initial,Followup,Followup
Report Date 01/18/2019
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 No Information
Device Model NumberV60
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/25/2019
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 01/17/2019
Initial Date FDA Received02/11/2019
Supplement Dates Manufacturer Received01/17/2019
01/17/2019
Supplement Dates FDA Received02/19/2019
07/23/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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