Class 1 Device Recall Trilogy Evo

• Date Initiated by Firm: May 01, 2023
• Date Posted: June 02, 2023
• Recall Status: Open, Classified
• Recall Number: Z-1651-2023
• Recall Event ID: 92048
• 510(K)Number: K181166
• Product Classification: Ventilator, continuous, facility use - Product Code CBK
• Product: Trilogy Evo O2 EV300, Model Numbers DS2200X11B, IN2200X15B, FX2200X15B, CA2200X12B, FR2200X14B, ND2200X15B, ES2200X15B, BL2200X15B, GB2200X15B, EU2200X15B, EE2200X15B, and TR2200X15B
• Code Information: UDI-DI: 606959052017 606959056497 606959061033 606959052321 606959058613 606959058620 606959058644 606959058668 606959058675 606959058682 606959058705 606959058798; Serial Numbers: H800088856BDC H800088865947 H80008889A1B0 H800088913420 H8000889206BB H800089218A54 H295004989AF7 H295005081733 H29500526CDFD H29500537C5AC H29500543CE80 H29500550E5C3 H29500557917C H29500562ECB9 H2950058276A9 H29500589C87A H295005940A47 H2950064102F6 H29500644555B H2950064767C0 H295006500AA7 H295006566F91 H295006577E18 H295006599766 H29500695F4AA H295007020DD1 H29500710371B H29500716522D H295007210CFA H2950072769CC H295007333630 H29500748C5EB H29500782C311 H29500785B7AE H29500791E852 H29500808E84C H295008107DDC H2950081618EA H295008304E6C H295008362B5A H295008400364 H2950084554C9 H2950086030D4 H2950086213C6 H29500867446B H295008731B97 H29500878A544 H29500881BB4D H29500883985F H29500885FD69 H295109734A0F H295684188A77 H29568454277B H295684894CE6 H2956852613BD H295702706AAA H295702771E15 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H3110785330F9 H311078631A91 H311078675CB5 H3110787212C0 H31107879AC13 H31107884F43E H31107897DF7D H311079103FDE H31107923272D H3110794150EF H311079563D88 H31108776ACDA H31108789D7E5 H311087936167 H311087972743 H31108808426B H311088194A3A H3110889108B2 H311089018576 H31108913BFBC H31108920A74F H31108931AF1E H31108940F39F H31115386CCB8 H31115401FAC2 H31115415A53E H31115426BDCD H31115568690F H31115608D2BB H31115641281A H3111565754F4 H3111567230E9 H311156919862 H311157077090 H311157212616 H31115739B386 H31115758F6DF H311157949513 H311158062BDE H311158216CD1 H31115835332D H3111585567FD H311158711269 H311159220496 H3111594162DD H3111596263F6 H311159741F18 H31115996A61A H3111649895D6 H31116509099B H31116527D355 H31116542D028 H311165568FD4 H311165659727 H31116573EBC9 H311165814B13 H311165962674 H311166052C93 H31116615354B H311166251F23 H31116638DD1E H3111665443A2 H311166675B51 H31116680B5FE H31116691BDAF H31116707555D H3111672545FF H311167514ED3 H3111676347A9 H31116783DDB9 H31116809F6E4 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H311422413A0E H311422733374 H31142285D58A H31142299063E H311423133D78 H31142348FD13 H311423615362 H311423714ABA H311423849EDF H311423948707 H31142404DC1A H31142416E6D0 H31142429344F H31142471C6BF H311424850353 H311424951A8B H31142547D33D H31142567E08D H311425833CB9 H311425932561 H311426276889 H3114264048E6 H3114265140B7 H311426661E60 H31142684A762 H311426969DA8 H311427135E19 H311427982E0A H311428120557 H311428244A09 H31142833276E H31142848D4B5 H311429612018 H311429992F98 H31143056FE6A H311430581714 H31143064F710 H31143070A8EC H31143074EEC8 H311431083370 H3114311285F2 H3114319179A9 H311442123DB7 H311442274072 H311442435286 H311442543FE1 H311442650400 H31144280C9BD H31144291C1EC H311443036F3A H3114434219D3 H311443531182 H3114437010A9 H31144406B492 H31144424A430 H31144443845F H31144462A666 H3114447810E4 H31144504CD5C H31144516F796 H31144542CF0A H31144555A26D H311445694269 H31144584039C H31144600641C H311446152A69 H311446250001 H311446326D66 H31144640037C H3114464777C3 H311447266846 H3114473237BA H3114474059A0 H311447463C96 H31144784B624 H311447979D67 H311448747F2B H31144886DFF1 H3114490468FF H31144919AAC2 H31144958DC2B H31144991E84A H31145007DAC1 H31145034C232 H311450907966 H31145102D7B0 H31145111FCF3 H31145127B3AD H31145146F6F4 H311451821970 H311452443A82 H311452604F16 H31145283E79D H311453015093 H311453512E2B H31145359A263 H31145413E65C H31145425A902 H3115159128FA H311516176C68 H311516346D43 H311517050C7E H31151729F5A2 H3115181008CC H31151827561B H311518407674 H31151886BAE2 H311519243E5C H311519413D21 H3115195562DD H31151985D2A5 H31152005A5B6 H31152014ADE7 H311520508CA3 H311520812D52 H3115209572AE H31152147BB18 H31152214185F H311522547F3F H311522744C8F H311523220DDD H311523443C3B H311523470EA0 H31152351724E H31152368C5E7 H3115237141FE H311524338989 H31152444B03E H3115247941B3 H3115249374F9 H311525059C0B H31152522DB04 H311525386D86 H311525609F76 H31152566FA40 H3115258552CB H311525976801 H3115260462E6 H311526572EC5 H31152669EDD3 H311526868F34 H3115270529B3 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• Recalling Firm/ Manufacturer: Philips Respironics, Inc.; 1001 Murry Ridge Ln; Murrysville PA 15668-8517
• Manufacturer Reason for Recall: Environmental debris may accumulate on the internal machine flow sensor causing partial occlusion which may impact accurate delivery of pressure, volume, or flow. A malfunction caused by this issue can result in patient harm up to hypoxemia if not addressed by the care provider.
• FDA Determined Cause: Under Investigation by firm
• Action: An URGENT Medical Device Correction notification letter was sent to customers on 5/1/23. Please take the actions below in order to prevent risk for your patients. Actions that must be taken by the user in order to prevent risks for patients. To help prevent accumulation of debris on the machine flow sensor: Use the Philips approved particulate filter which prevents a significant majority of airborne aerosols and particulate from entering the device. This filter must be replaced between patients and monthly as indicated in the Instructions for Use. Using this filter was previously optional. This is now required. Use the air inlet filter as indicated in the Instructions for Use. Installation of the particulate filter will not require a change to therapy settings. To help detect change in therapy: Set appropriate alarms based on ventilation mode, such as Low Tidal Volume, Low Minute Ventilation, Low Inspiratory Pressure, and High Inspiratory Pressure. Check Proximal Pressure and External Flow Sensor Failed alarms can also alert the user to this issue. These are non settable alarms. The device will issue a low priority Inlet Filter(s) Blocked alarm if therapy is reduced due to filter occlusion. The device will continue to function if this occurs, but the user must be aware to rinse the air inlet filter and replace the particulate filter if this occurs. Observe instructions for any alarm, especially Ventilator Service Required or Ventilator Inoperative. If the situation cannot be resolved, use alternative ventilation equipment. Ensure ventilator dependent patients have access to alternative ventilation equipment, such as a back up ventilator or manual resuscitator. Distribute this notice to all employees in your organization that need to be aware. Train device users within your network to use the air inlet and particulate filters on all patients. Send this notice to any organization an impacted device was sold or distributed to. If you need any further informatio
• Quantity in Commerce: 18,855 devices
• Distribution: US Nationwide. Global Distribution.
• Total Product Life Cycle: TPLC Device Report

¹ A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
² Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
³ The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.

• 510(K) Database: 510(K)s with Product Code = CBK and Original Applicant = Respironics Inc.