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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS, INC. I NEB CF; NEBULIZER (DIRECT PATIENT INTERFACE)

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RESPIRONICS, INC. I NEB CF; NEBULIZER (DIRECT PATIENT INTERFACE) Back to Search Results
Model Number 1083220
Medical Device Problem Code Restricted Flow rate (1248)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/12/2025
Type of Reportable Event Malfunction
Event or Problem Description
The manufacturer received information alleging that the patient's device is signaling the end of treatment after only 2 breaths and most of the medication is remaining in the chamber.As result, the patient reported that he is missing some of his doses and it wasn't happening previously.The patient reported that it was happening with all of the chambers, and he believes it is an issue with the device.There is no allegation of serious or permanent harm or injury.No medical intervention was required by the patient.The manufacturer's investigation is ongoing.A follow-up report will be submitted when the manufacturer's investigation is complete.
 
Additional Manufacturer Narrative
The manufacturer received information alleging that that the patient's device is signaling the end of treatment after only 2 breaths and most of the medication is remaining in the chamber.As a result, the patient reported that he is missing some of his doses and it wasn't happening previously.The patient reported that it was happening with all of the chambers, and he believes it is an issue with the device.There is no allegation of serious or permanent harm or injury.No medical intervention was required by the patient.Multiple good faith efforts have been made to obtain additional information, without customer response.A final report is being submitted.If new information becomes available following the completion of the device repair that changes the outcome of the investigation and associated medical device reporting a follow up/supplemental report will be completed.
 
Event or Problem Description
The manufacturer received information alleging that that the patient's device is signaling the end of treatment after only 2 breaths and most of the medication is remaining in the chamber.As a result, the patient reported that he is missing some of his doses and it wasn't happening previously.The patient reported that it was happening with all of the chambers, and he believes it is an issue with the device.There is no allegation of serious or permanent harm or injury.No medical intervention was required by the patient.Multiple good faith efforts have been made to obtain additional information, without customer response.A final report is being submitted.If new information becomes available following the completion of the device repair that changes the outcome of the investigation and associated medical device reporting a follow up/supplemental report will be completed.
 
Additional Manufacturer Narrative
The manufacturer previously reported maximum gfe attempts to retrieve the device for evaluation.Upon further review of this complaint, analysis of past events has not indicated an adverse event has occurred due to the alleged malfunction.Review of the risk file indicates the potential for a serious adverse event occurring as a result of this incident is unlikely.This complaint is considered not reportable.
 
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Brand Name
I NEB CF
Common Device Name
NEBULIZER (DIRECT PATIENT INTERFACE)
Manufacturer (Section D)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA
Manufacturer (Section G)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA
Manufacturer Contact
melissa rosko
1001 murry ridge lane
murrysville, PA 
7247330200
MDR Report Key21607871
Report Number2518422-2025-103005
Device Sequence Number8796135
Product Code CAF
UDI-Device Identifier00383730000909
UDI-Public(01)00383730000909
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K102454
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 03/25/2026
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
Operator of Device Lay User/Patient
Device Model Number1083220
Device Catalogue Number1083220
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/12/2025
Supplement Date Received by Manufacturer02/12/2025
Not provided
Initial Report FDA Received Date03/14/2025
Supplement Report FDA Received Date11/06/2025
03/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/17/2023
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 Number1
Patient SexUnknown
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