COUGHT ASSIST T70 1098160

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2015-10-29 for COUGHT ASSIST T70 1098160 manufactured by Respironics Inc.

Event Text Entries

[29786602] The manufacturer received information alleging a cough assist failed to operate with a detachable battery while traveling. The patient became cyanotic and cardiopulmonary resuscitation was administered. The patient was taken to the hospital by ambulance and was released from the hospital that evening. The device has yet to be returned to the manufacturer for evaluation. A follow up report will be filed when the manufacturer has completed the investigation.
Patient Sequence No: 1, Text Type: D, B5


[45982216] The manufacturer previously reported a cough assist allegedly failed to operate with a detachable battery while traveling. The patient became cyanotic and cardiopulmonary resuscitation was administered. The patient was taken to the hospital by ambulance and was released from the hospital that evening. The device was returned to the manufacturer for evaluation. The device was tested and found to operate and alarm to design specifications. The manufacturer found the detachable battery that was being used with the device was observed to be depleted. The manufacturer was not able to confirm the charge level of the detachable battery at the time of the event. The detachable battery was returned to the manufacturer's quality assurance laboratory for further evaluation. During the investigation the root cause of the detachable battery being depleted and not charging was found to be due to a. 5vdc cell imbalance. The intended use of the device is for adult or pediatric patients unable to cough or clear secretions effectively. It may be used either with a facemask or mouthpiece, or with an adapter to a patient's endotracheal or tracheostomy tube. The device is intended to be used in the hospital, institutional environment, or in the home. Product labeling for the cough assist, t70, states, "you can operate the device using an external battery or the optional detachable battery. Note that the performance of the coughassist t70 while running on dc power may be affected depending on the state of the battery, the therapy settings, and patient airway resistance. " "when the external or detachable batteries are connected to the device, battery symbols will appear on-screen to indicate the battery status. The shading in the battery icon indicates the power remaining in the battery. " "the detachable battery cannot be charged. Replace battery. If problem persists with a different battery, contact your home care provider. "
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1040777-2015-00038
MDR Report Key5186343
Report SourceCONSUMER
Date Received2015-10-29
Date of Report2015-10-01
Date of Event2015-09-27
Date Mfgr Received2016-05-24
Device Manufacturer Date2013-08-30
Date Added to Maude2015-10-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. WILFREDO ALVAREZ
Manufacturer Street312 ALVIN DRIVE
Manufacturer CityNEW KENSINGTON PA 15068
Manufacturer CountryUS
Manufacturer Postal15068
Manufacturer Phone7243349303
Manufacturer G1RESPIRONICS INC
Manufacturer Street175 CHASTAIN MEADOWS COURT
Manufacturer CityKENNESAW GA 30144
Manufacturer CountryUS
Manufacturer Postal Code30144
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOUGHT ASSIST T70
Generic NamePERCUSSOR, POWERED-ELECTRIC
Product CodeBYI
Date Received2015-10-29
Returned To Mfg2016-03-14
Model Number1098160
Catalog Number1098160
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerRESPIRONICS INC
Manufacturer Address175 CHASTAIN MEADOWS COURT KENNESAW GA 30144 US 30144


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-10-29

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