BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHILIPS DREAMSTATION

    MDR report key: 12568673 · Received October 1, 2021

    Report

    Report Number
    MW5104331
    Event Type
    Death
    Date Received
    October 1, 2021
    Date of Event
    July 1, 2018
    Report Date
    September 29, 2021
    Manufacturer
    PHILIPS / RESPIRONICS, INC.
    Product Code
    BZD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY HUSBAND USED A PHILIPS DREAMSTATION CPAP MACHINE EVERY NIGHT FOR ABOUT A YEAR BEFORE HE BEGAN EXPERIENCING SHOULDER PAIN. AFTER GOING TO SEVERAL DOCTORS, HE WAS DIAGNOSED WITH LUNG CANCER IN THE FALL OF 2018 AND DIED IN (B)(6) OF 2019. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1463875 PHILIPS DREAMSTATION VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD PHILIPS / RESPIRONICS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Death