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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS, INC. TRILOGY; VENTILATOR, CONTINUOUS, FACILITY USE

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RESPIRONICS, INC. TRILOGY; VENTILATOR, CONTINUOUS, FACILITY USE Back to Search Results
Model Number 1040000
Medical Device Problem Codes Circuit Failure (1089); Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/29/2026
Type of Reportable Event Malfunction
Event or Problem Description
The manufacturer received information alleging a ventilator service required alarm had occurred on a trilogy 202 device.The device was not in use on a patient at the time of the occurrence.The trilogy 202 device was evaluated by a third-party service technician, and the customer¿s complaint was confirmed.During the evaluation it was noted that error codes, proximal pressure railed and drift proximal pressure too high, were observed in the device's error log.The third-party service technician evaluated and determined the oxygen blending module (obm) printed circuit assembly (pca) and oxygen (o2) pca had caused these two error codes to occur on the device.In conclusion, the device's obm pca and o2 pca need replacing to address the issue.A quote was provided to the customer for repairs to be made for this issue.No repairs or parts were replaced at this time.The root cause is confirmed at this time.
 
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Brand Name
TRILOGY
Common Device Name
VENTILATOR, CONTINUOUS, FACILITY USE
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 Key24803327
Report Number2518422-2026-010508
Device Sequence Number10682195
Product Code CBK
UDI-Device Identifier00606959022706
UDI-Public(01)00606959022706
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
K093905
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Y
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 04/07/2026
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 Other
Device Model Number1040000
Device Catalogue Number1040000
Device Lot Number151020
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/12/2026
Initial Report FDA Received Date04/07/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/23/2015
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
Patient Sequence Number1
Patient SexUnknown
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