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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: 06dec2020.
 
Event Description
The customer reported it was impossible to operate the touch panel of the screen.It was impossible to operate the tabs on the bottom of the screen (setting-change tab/alarm-setting tab).The doctor reported that a failure was observed in the screen.The device kept operating.The unit was in clinical use, but there was no patient harm.
 
Manufacturer Narrative
G4:03dec2020.B4: (b)(6) 2021.The field service engineer (fse) confirmed the reported issue by an operational check performed.Calibration was performed but did not resolve the issue.The (fse) replaced the touchscreen, and the issue was addressed.The unit was tested and was returned to service.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.
 
Manufacturer Narrative
G4:21apr2021.B4:26apr2021.D4: udi: (b)(4).The touchscreen was returned to manufacturer to failure investigation (fi) for analysis.Electrical testing are out of specification.Customers complaint verified "s/t settings" and "alarm settings" intermittently failed.Fault is found on this returned touchscreen assembly.This failure was caused by the manufacturing process leaving dead spots on the screen, 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 Key10956346
MDR Text Key220442864
Report Number2031642-2020-04411
Device Sequence Number1
Product Code MNT
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 11/10/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/06/2020
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 Manufacturer12/22/2020
Was the Report Sent to FDA? No
Date Manufacturer Received11/10/2020
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/29/2018
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Treatment
UNKNOWN PATIENT CIRCUIT, MASK, AND HUMIDIFIER
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