FDA Adverse Event
Injury
Summary report: N
DREAMSTATION CPAP
MDR report key: 12137252
·
Received July 7, 2021
Report
- Report Number
- MW5102373
- Event Type
- Injury
- Date Received
- July 7, 2021
- Date of Event
- June 18, 2021
- Report Date
- July 5, 2021
- Manufacturer
- PHILLIPS / RESPIRONICS, INC.
- Product Code
- BZD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CHEST PAIN, CONGESTION, BRONCHITIS, ASTHMA FLARE UPS, CHRONIC COUGH, BREATHLESSNESS, MUCUS, CONTINUED ILLNESS AFTER USING RESPIRONICS DREAMSTATION AT HIGH HUMIDITY LEVELS. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1022968 | DREAMSTATION CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILLIPS / RESPIRONICS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Disability |