inforMED
MalfunctionCZW

SIMPLYGO

Received May 16, 2024 · Event occurred Apr 3, 2024

Report 2518422-2024-28643 · MDR key 19329034

Device

Generic name

Generator, Oxygen, Portable

Manufacturer

Respironics, Inc.

Model number

1069058

Catalog number

1069058

Product problems

  • Unexpected Shutdown
  • Excessive Heating
  • Unexpected Shutdown
  • Excessive Heating

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

A SIMPLYGO DEVICE WAS RETURNED TO A THIRD PARTY SERVICE CENTER ALLEGING THE DEVICE WOULD TURN OFF. DURING EVALUATION OF THE DEVICE, THE DEVICE WAS FOUND TO HAVE THERMAL DAMAGE TO THE PCA (PRINTED CIRCUIT ASSEMBLY). THE PCA WAS BURNED AND IN NEED OF REPLACEMENT. THE DEVICE WAS ALSO FOUND TO HAVE LOW OXYGEN, AND THE SIEVES WERE DEFECTIVE AND NEEDED REPLACEMENT. THE TUBING KIT WAS CONTAMINATED. THE COMPRESSOR WAS IN NEED OF REPLACEMENT, AND THE INLET FILTER WAS REPLACED DUE TO PREVENTATIVE MAINTENANCE. THE DEVICE WAS REPAIRED AND PASSED A PERFORMANCE TEST. THERE IS NO ALLEGATION OF SERIOUS OR PERMANENT HARM OR INJURY. NO MEDICAL INTERVENTION WAS REQUIRED BY THE PATIENT.

Additional Manufacturer Narrative

H3 OTHER TEXT : DEVICE NOT RETURNED TO THE MANUFACTURER.