FDA Adverse Event
Death
Summary report: N
PHILIPS REMSTAR PRO
MDR report key: 14206327
·
Received April 25, 2022
Report
- Report Number
- MW5109345
- Event Type
- Death
- Date Received
- April 25, 2022
- Report Date
- April 22, 2022
- Manufacturer
- PHILIPS / RESPIRONICS, INC.
- Product Code
- BZD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- *
Narratives
Description of Event or Problem · 0
MY MOTHER EXPERIENCED PERIODIC RESPIRATORY DISTRESS THAT PROGRESSED INTO SEVERE RESPIRATORY ISSUES. SHE EXPERIENCED INFLAMMATION OF HER AIRWAY THAT PRESENTED LIKE A REACTIVE AIRWAY. SHE WENT INTO CARDIAC ARREST FROM HYPOXEMIA AND SUBSEQUENTLY WAS VENTILATOR DEPENDENT WITH LOSS OF COGNITIVE FUNCTION. SHE WAS REMOVED FROM THE VENTILATOR AND ALLOWED TO PASS AWAY. FDA SAFETY REPORT ID #:(B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 970873 | PHILIPS REMSTAR PRO | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILIPS / RESPIRONICS, INC. | 460P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Female | Death| H |