Brand Name | V60 VENTILATOR |
Type of Device | VENTILATOR CONTINUOUS MINIMAL VENTILATORY SUPPORT FACILITY USE |
Manufacturer (Section D) |
RESPIRONICS CALIFORNIA, INC. |
2271 cosmos ct. |
carlsbad CA 92011 |
|
Manufacturer Contact |
richa
shah
|
3000 minuteman road |
andover, MA 01810
|
9786594907
|
|
MDR Report Key | 4437473 |
MDR Text Key | 17276541 |
Report Number | 2031642-2015-00084 |
Device Sequence Number | 1 |
Product Code |
MNT
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K082660 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility |
Reporter Occupation |
Biomedical Engineer
|
Type of Report
| Initial |
Report Date |
01/12/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/16/2015 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | V60 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/12/2015 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 11/01/2014 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Death;
|
Patient Age | 70 YR |
Patient Weight | 64 |
|
|