FDA Adverse Event
Injury
Summary report: N
PHILIP'S RESPIRONICS DREAMSTATION
MDR report key: 12703883
·
Received October 26, 2021
Report
- Report Number
- MW5104963
- Event Type
- Injury
- Date Received
- October 26, 2021
- Date of Event
- November 17, 2018
- Report Date
- October 22, 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
Narratives
Description of Event or Problem · 1
USED PHILIP'S DREAMWEAVER CPAP/BIPAP AND NOW AM INCAPACITATED WITH IPF, A LIVER AND AN EYE PROBLEM. DISCOVERED BOGUS LEGAL WEBSITES BUT WOULD LIKE TO JOIN A CLASS ACTION SUIT. I WAS IN (B)(6) WHEN ILLNESS OCCURRED AND I NOW LIVE IN (B)(6). FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1598726 | PHILIP'S RESPIRONICS DREAMSTATION | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILIPS / RESPIRONICS, INC. | DSX500H11 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Hospitalization| O| S |