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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION THE VEST SYSTEM; PERCUSSOR, POWERED-ELECTRIC

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BAXTER HEALTHCARE CORPORATION THE VEST SYSTEM; PERCUSSOR, POWERED-ELECTRIC Back to Search Results
Model Number P105
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
Baxter received a report that vest model 105 had power cord damaged with copper wire exposed.There was no patient/user injury, medical intervention, symptom, or adverse event reported.
 
Additional Manufacturer Narrative
The baxter technical support found the power cord needed to be replaced.The vest airway clearance system, model 105 was developed to provide effective airway clearance therapy.The system consists of an inflatable garment attached to an air pulse generator that rapidly inflates and deflates the inflatable garment.This causes the chest wall to be gently compressed and released, which creates airflow within the lungs.This process moves the mucus toward the large airways where it can be cleared by coughing or suctioning.This type of airway clearance therapy is referred to as high frequency chest wall oscillation (hfcwo).A search of the baxter maintenance records did not show baxter performed any preventative maintenance on this product.It is unknown if the customer performs preventative maintenance on their products.A replacement power cord was sent to the customer.Based on this information, no further actions are required at this time.Although there was no reported injury with this event, if the report of a damaged power cord with exposed copper wires were to recur, it could potentially cause serious injury or death.Therefore baxter is reporting this event.
 
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Brand Name
THE VEST SYSTEM
Common Device Name
PERCUSSOR, POWERED-ELECTRIC
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
deerfield IL
Manufacturer (Section G)
HILL-ROM SINGAPORE
1 yishun avenue 7
singapore, north east 76892 3
SN   768923
Manufacturer Contact
25212 w. illinois route 120
round lake, IL 60073
2242705355
MDR Report Key24974877
Report Number3008145987-2026-00032
Device Sequence Number20046107
Product Code BYI
UDI-Device Identifier00887761997776
UDI-Public(01)00887761997776(11)200127
Combination Product (Y/N)N
Initial Reporter StateMA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer,Company Representative
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 04/23/2026
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 NumberP105
Device Catalogue NumberP105
Device Lot NumberN/A
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/01/2026
Initial Report FDA Received Date04/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/27/2020
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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