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 |