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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS, INC. BIPAP A40; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE

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RESPIRONICS, INC. BIPAP A40; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE Back to Search Results
Model Number GBX3100S19
Medical Device Problem Code Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/11/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Dhr review was performed for the complaint device serial number, (b)(6) review confirms that the device met the final acceptance criteria and was released for final distribution.
 
Event or Problem Description
A bipap a40 pro device was returned to a third-party service center for service.There was no serious patient harm or injury that occurred or was reported.During the evaluation at the third-party service center, a ventilator inoperative error code was found in the device's error log stating failure of the outlet pressure sensor.The device evaluation does not identify any specific component malfunction that would need to be replaced to resolve the ventilator inoperative condition.The device has been rendered inoperable and disposed of.
 
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Brand Name
BIPAP A40
Common Device Name
VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, 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 Key25279201
Report Number2518422-2026-015831
Device Sequence Number9677283
Product Code MNT
UDI-Device Identifier00606959055063
UDI-Public(01)00606959055063
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K121623
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Remedial Action Recall
Type of Report Initial
Report Date (Section B) 05/26/2026
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
Device Model NumberGBX3100S19
Device Catalogue NumberGBX3100S19
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/11/2026
Initial Report FDA Received Date05/26/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/06/2022
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
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
Z-1813-2024
Patient Sequence Number1
Patient SexUnknown
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