FDA Adverse Event Malfunction Summary report: N

BIPAP AUTO BIFLEX

MDR report key: 14288390 · Received May 5, 2022

Report

Report Number
2518422-2022-17237
Event Type
Malfunction
Date Received
May 5, 2022
Date of Event
April 11, 2022
Report Date
May 17, 2022
Manufacturer
RESPIRONICS INC
Product Code
BZD
UDI-DI
00606959006010
PMA / PMN Number
K131982
Removal / Correction Number
RES 88058
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

IS THE ORIGINAL REPORT ASSOCIATED WITH THIS DEVICE. A DUPLICATE REPORT HAS BEEN SUBMITTED FOR THIS DEVICE UNDER REPORT MDR 2518422-2022-17238. THIS FOLLOW UP REPORT IS BEING FILED FOR AWARENESS OF THIS DUPLICATE REPORT. A CORRECTION REPORT MDR 2518422-2022-17238-1 HAS BEEN FILED FOR AWARENESS ABOUT THE DUPLICATE REPORT.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION ALLEGING VISUALIZATION OF PARTICLES RELATED TO A BIPAP DEVICE'S SOUND ABATEMENT FOAM. THERE WAS NO REPORT OF PATIENT HARM OR INJURY. THE MANUFACTURER'S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1046258 BIPAP AUTO BIFLEX VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS INC DS760HS 00606959006010

Patients

Seq Age Sex Outcome Treatment
1 Unknown