| Brand Name | MR850 |
| Common Device Name | RESPIRATORY HUMIDIFIER |
| Manufacturer (Section D) |
| FISHER & PAYKEL HEALTHCARE |
| 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 | 24464779 |
| Report Number | 9611451-2026-00739 |
| Device Sequence Number | 10262067 |
| Product Code |
BTT
|
| UDI-Device Identifier | 09420012407184 |
| UDI-Public | (01)09420012407184(10)2101357029(11)201027 |
| 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) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
05/07/2026 |
| 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 |
Health Professional
|
| Device Model Number | MR850AEK |
| Device Catalogue Number | MR850AEK |
| Device Lot Number | 2101357029 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/29/2026 |
| Supplement Date Received by Manufacturer | 04/16/2026
|
| Initial Report FDA Received Date | 02/26/2026 |
| Supplement Report FDA Received Date | 05/06/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/27/2020 |
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|