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U.S. Department of Health and Human Services

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

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V60 VENTILATOR; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE Back to Search Results
Model Number V60
Device Problem Therapeutic or Diagnostic Output Failure (3023)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
Date of event: (b)(6) 2020, date of report: 30nov2020.
 
Event Description
The customer reported touchscreen failure.The customer contacted product support and requested service repair.The customer reported that the unit was not in use on a patient.The issue was discovered during testing.
 
Manufacturer Narrative
G4:12nov2020.B4:19apr2021.The field service engineer replaced the touchscreen to address the reported issue.Failure analysis on the returned touchscreen shows that the ul_lr / ur_ll resistance are out of spec.Fault are found on this returned touchscreen.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
MDR Report Key10925806
MDR Text Key219340079
Report Number2031642-2020-04302
Device Sequence Number1
Product Code MNT
UDI-Device Identifier00884838089297
UDI-Public(01)00884838089297
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
Report Date 11/03/2020
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 Manufacturer01/11/2021
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 11/03/2020
Initial Date FDA Received12/01/2020
Supplement Dates Manufacturer Received11/03/2020
Supplement Dates FDA Received04/19/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/01/2020
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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