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

Model Number	MR850AEK
Medical Device Problem Code	No Audible Alarm (1019)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Event or Problem Description
A healthcare facility in the united kingdom reported that the audible alarm of a mr850 respiratory humidifier was not functioning.There was no patient involvement reported.
Additional 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.
Additional Manufacturer Narrative
(b)(4).Method: the complaint mr850 respiratory humdifier was not returned to fisher & paykel healthcare (f&p) in new zealand for evaluation.Our investigation is therefore based on the information provided by the customer and our knowledge of the product.Results: the customer reported that the audible alarm of a mr850 respiratory humidifiers was not functioning.Conclusion: we are unable to determine the cause of the reported issue as the device was not provided to f&p healthcare for evaluation.Our 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 or Problem Description
A healthcare facility in the united kingdom reported that the audible alarm of a mr850 respiratory humidifier was not functioning.There was no patient involvement reported.
Event or Problem Description
A healthcare facility in the united kingdom reported that the audible alarm of a mr850 respiratory humidifier was not functioning.There was no patient involvement reported.
Additional Manufacturer Narrative
(b)(4).Section d1: brand name updated to fisher & paykel healthcare.Section d2a: common device name updated to respiratory humidifier.Section d4: model and catalog # updated to mr850aek.Section g1: contact person updated to mr.(b)(4).Method: the complaint mr850 respiratory humdifier was not returned to fisher & paykel healthcare (f&p) in new zealand for evaluation.Our investigation is therefore based on the information provided by the customer and our knowledge of the product.Results: the customer reported that the audible alarm of a mr850 respiratory humidifiers was not functioning.Conclusion: we are unable to determine the cause of the reported issue as the device was not provided to f&p healthcare for evaluation.Our 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.

• Brand Name: FISHER & PAYKEL HEALTHCARE
• Common Device Name: RESPIRATORY HUMIDIFIER
• 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: diego vargas banuelos ; 17400 laguna canyon road; suite 300; irvine, CA 92618 ; 9494341005
• MDR Report Key: 18361417
• Report Number: 9611451-2023-01160
• Device Sequence Number: 20769201
• Product Code: BTT
• UDI-Device Identifier: 09420012407184
• UDI-Public: (01)09420012407184(10)2101184972(11)200703
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: K110019
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 11/21/2023

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 Model Number: MR850AEK
• Device Catalogue Number: MR850AEK
• Device Lot Number: 2101184972
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 11/21/2023
• Supplement Date Received by Manufacturer: 12/21/2023; 12/21/2023
• Initial Report FDA Received Date: 12/19/2023
• Supplement Report FDA Received Date: 01/18/2024; 09/03/2024
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 07/03/2020
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown