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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FISHER & PAYKEL HEALTHCARE LTD MR850; RESPIRATORY HUMIDIFIER

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FISHER & PAYKEL HEALTHCARE LTD MR850; RESPIRATORY HUMIDIFIER Back to Search Results
Model Number MR850JHU
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
During device evaluation of a mr850 respiratory humidifier at our fisher & paykel healthcare (f&p) regional office in the usa, it was found that the speaker was non-operational.There was no patient involvement.
 
Additional Manufacturer Narrative
(b)(6).Method: the subject mr850 respiratory humidifier was received at our fisher & paykel (f&p) healthcare regional office in the usa where it was visually inspected and performance tested by a trained f&p healthcare service technician.Our investigation is based on the information provided by the f&p healthcare service technician, the information provided by the healthcare facility and our knowledge of the product.Results: performance testing of the subject mr850 respiratory humidifier confirmed that the no sound was generated from the speaker.The subject device was then destroyed upon the healthcare facility's request.Conclusion: the root cause of the speaker fault was not determined.The mr850 respiratory humidifier product technical manual contains a maintenance schedule which instructs the user to conduct annual visual checking and performance testing of the mr850 respiratory humidifier.In addition, the product technical manual also states that "all servicing procedures should be followed by a humidifier test, and an electrical safety test to ensure proper operation".The mr850 respiratory humidifier is equipped with visual alarm indicators in addition to the audible alarm.
 
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Brand Name
MR850
Common Device Name
RESPIRATORY HUMIDIFIER
Manufacturer (Section D)
FISHER & PAYKEL HEALTHCARE LTD
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 banuelos
17400 laguna canyon road
suite 300
irvine, CA 92618
9494341005
MDR Report Key25616666
Report Number9611451-2026-02005
Device Sequence Number9094469
Product Code BTT
UDI-Device Identifier09420012407290
UDI-Public(01)09420012407290(10)2101374284(11)201106
Combination Product (Y/N)N
Initial Reporter StateMO
Initial Reporter CountryUS
PMA/510(K) Number
K110019
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 06/25/2026
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 Health Professional
Device Model NumberMR850JHU
Device Catalogue NumberMR850JHU
Device Lot Number2101374284
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/08/2026
Initial Report FDA Received Date06/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/06/2020
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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