inforMED
DeathBYT

NEV 100

Received Aug 8, 2018 · Event occurred Jul 29, 2018

Report 2518422-2018-01854 · MDR key 7763622

Device

Generic name

Ventilator, External Body, Negative Pressure, Adult (cuirass)

Manufacturer

Respironics Inc.

Model number

12001

Catalog number

12001

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Insufficient Device Problem Information
  • Adverse Event Without Identified Device or Use Problem
  • Insufficient Device Problem Information

Patient

57 YR

  • Death
  • Death

Narrative

Description of Event or Problem

THE MANUFACTURER RECEIVED INFORMATION INDICATING A PATIENT EXPIRED WHILE USING A NEGATIVE PRESSURE VENTILATOR DURING A POWER OUTAGE. THE MANUFACTURER IS CURRENTLY INVESTIGATING THIS EVENT AND A FOLLOW-UP REPORT WILL BE FILED WHEN THE INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative

IT WAS INITIALLY REPORTED THE MANUFACTURER RECEIVED INFORMATION INDICATING A PATIENT EXPIRED WHILE USING A NEGATIVE PRESSURE VENTILATOR DURING A POWER OUTAGE. THE NEV 100 VENTILATOR WAS RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN THE DEVICE WAS POWERED ON, IT OPERATED AS DESIGNED, BUT WAS ALARMING. THE DEVICE'S TIMING BELT REQUIRED ADJUSTMENT TO ADDRESS THE ALARM. NO OTHER ISSUES WHERE OBSERVED. THE NEV 100 DOES NOT HAVE AN INTERNAL BATTERY BACKUP IN THE EVENT OF A POWER FAILURE. THE NEV 100 WAS SUPPLIED TO THE PATIENT WITH A BACKUP GENERATOR. THE GENERATOR WAS NEVER INSTALLED AND WAS UNAVAILABLE WHEN THE POWER OUTAGE OCCURRED.