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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS CALIFORNIA, INC V60 VENTILATOR; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE

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RESPIRONICS CALIFORNIA, INC V60 VENTILATOR; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE Back to Search Results
Model Number V60
Device Problems Crack (1135); Defective Component (2292)
Patient Problem No Patient Involvement (2645)
Event Type  malfunction  
Manufacturer Narrative
Date of event: (b)(6) 2020.Date of report: 28jan2020.
 
Event Description
It was reported that the unit had a break on the external portion of the left touch panel.It was also reported that the "alarm mute" and "alarm reset" buttons on the touchscreen are unresponsive.It was also reported that the top cover had a crack.There was no patient involvement.The manufacturer's international service technician performed troubleshooting and confirmed the reported issue.The manufacturer's international service technician replaced the user interface assembly to address the touch failure and replaced the top cover to address the crack.
 
Manufacturer Narrative
G4: 23jun2020 b4: (b)(6)2020.User interface (ui) assembly was returned to failure investigation for analysis.Visual inspection of the user interface (ui) revealed no evidence of damage or contamination.A failure investigation (fi) technician verified the assembly was within specifications, the fi technician installed the ui into a fi ventilator and tested the device.They were not able to duplicate the reported failure of touchscreen unresponsive.The determination not could be made that the device failed to meet specifications, the user interface functioned as it should.No fault found with this assembly.Submission of a report does not constitute an admission that medical personnel, user facility, importer, distributor, manufacturer, or product caused or contributed to the event.
 
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Brand Name
V60 VENTILATOR
Type of Device
VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT,FACILITY USE
Manufacturer (Section D)
RESPIRONICS CALIFORNIA, INC
2271 cosmos court
carlsbad CA 92011
MDR Report Key9640068
MDR Text Key184199248
Report Number2031642-2020-00332
Device Sequence Number1
Product Code MNT
Combination Product (y/n)N
PMA/PMN Number
K082660
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 01/13/2020
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 Operator Other
Device Model NumberV60
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/19/2020
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 01/13/2020
Initial Date FDA Received01/28/2020
Supplement Dates Manufacturer Received01/13/2020
Supplement Dates FDA Received07/03/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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