FDA Adverse Event
Injury
Summary report: N
PHILLIPS DREAMSTATION CPAP
MDR report key: 12293879
·
Received August 6, 2021
Report
- Report Number
- MW5103080
- Event Type
- Injury
- Date Received
- August 6, 2021
- Report Date
- August 4, 2021
- Manufacturer
- PHILLIPS / RESPIRONICS INC.
- Product Code
- BZD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AL, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAVE PHILLIPS CPAP MACHINE I HAD SINUS PROBLEMS AND EXTREME NAUSEA EVERY MORNING UNTIL I STOPPED USING THE MACHINE I THINK IT IS STILL AFFECTING MY BREATHING. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1188658 | PHILLIPS DREAMSTATION CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILLIPS / RESPIRONICS INC. | DSX500H11C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR |