Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1504-2024Class I

Trilogy Evo, all software versions except 1.05.06.00. Ventilator for pediatric and adult patients

Respironics, Inc. / initiated 2024-03-19 / Open, Classified / root cause: design

Philips Respironics, Inc. began a recall of Trilogy Evo, all software versions except 1.05.06.00. Ventilator for pediatric and adult patients on . FDA classified it as Class I and gives the reason as "Potential for sudden loss of ventilation due to Battery Depleted or Loss of Power alarm while unit has sufficient power". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-1504-2024
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Respironics, Inc.
Product
Trilogy Evo, all software versions except 1.05.06.00. Ventilator for pediatric and adult patients.
Product code
CBK Ventilator, Continuous, Facility Use
Reason for recall
Potential for sudden loss of ventilation due to Battery Depleted or Loss of Power alarm while unit has sufficient power.
Root cause tag
design
FDA root cause
Device Design
Action
Consignees were mailed an URGENT MEDICAL DEVICE CORRECTION notice, dated 3/7/24. Consignees are asked to identify any affected product in their inventory and follow the provided instructions in order to continue using devices safely in CPAP or PSV mode. Devices that alarm are to be immediately plugged into a power source if a Loss of Power Alarm occurs. If no source of power is available, remove and replace the detachable battery. Devices running on software other than 1.05.06.00 can be updated to the latest software version, which does not experience this failure mode. The provided recall notice should be shared with all members of consignee organizations that utilize the recalled devices. If product was further distributed the provided notice should be forwarded. Consignees with any questions can contact Philips Respironics Customer Service at 1-800-345-6443 for homecare customers or 1-800-722-9377 for hospital customers.
Quantity in commerce
76,713 units
Distribution
Domestic: Nationwide Distribution; Foreign: AE, AR, AT, AU, BD, BE, BG, BO, BR, BS, CA, CH, CL, CN, CO, CZ, DE, DK, DZ, EC, EE, EG, ES, FI, FR, GB, GE, GF, GI, GR, GT, HK, HR, HU, ID, IE, IL, IN, IT, JE, JO, JP, KE, KR, KW, LB, LT, MA, ME, MK, MM, MQ, MT, MX, MY, NG, NL, NO, NP, NZ, OM, PA, PE, PF, PH, PK, PL, PR, PT, PY, QA, RE, RO, RS, RU, SA, SE, SG, SI, SK, TH, TN, TR, TW, UA, US, UY, VN, YT, ZA, ZW.
Product codes and lots
Model No. AU2110X15B, BL2110X15B, BL2200X15B, BR2110X18B, BR2200X18B, CA2110X12B, CA2200X12B, DE2100X13B, DE2110X13B, DE2200X13B, DS2000X11B, DS2100X11B, DS2110X11B, DS2200X11B, EE2100X15B, EE2110X15B, EE2200X15B, ES2100X15B, ES2110X15B, ES2200X15B, EU2100X15B, EU2100X19, EU2110X15B, EU2110X19, EU2200X15B, FR2100X14B, FR2110X14B, FR2200X14B, FX2100X15B, FX2200X15B, GB2110X15B, GB2200X15B, IA2100X15B, IA2110X15B, IN2100X15B, IN2100X19, IN2110X15B, IN2200X15B, IT2100X21B, IT2110X21B, IT2200X21B, JP2100X16B, JP2110X16B, KR2110X15B, KR2200X15B, LA2100X15B, LA2110X15B, LD2110X23B, ND2100X15B, ND2110X15B, ND2200X15B, RDS2110X11B, SP2100X26B, TR2110X15B, TR2200X15B, UDS2110X11B, VT2110X24B; UDI-DI: 606959051980, 606959055520, 606959055476, 606959052307, 606959054110, 606959051942, 606959055544, 606959054080, 606959054981, 606959055537, 606959055506, 606959054127, 606959055490, 606959051959, 606959055421, 606959051973, 606959055483, 606959055452, 606959055513, 606959060517, 606959055551, 606959060500; All units except those with software version 1.05.06.00.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1504-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1499-2024Class IOngoingVoluntary: Firm initiated
Z-1500-2024Class IOngoingVoluntary: Firm initiated
Z-1501-2024Class IOngoingVoluntary: Firm initiated
Z-1502-2024Class IOngoingVoluntary: Firm initiated
Z-1503-2024Class IOngoingVoluntary: Firm initiated
Z-1504-2024Class IOngoingVoluntary: Firm initiated
Z-1505-2024Class IOngoingVoluntary: Firm initiated