FDA Adverse Event
Malfunction
Summary report: N
DREAMSTATION 1
MDR report key: 15550487
·
Received October 5, 2022
Report
- Report Number
- MW5112455
- Event Type
- Malfunction
- Date Received
- October 5, 2022
- Date of Event
- October 1, 2022
- Report Date
- October 3, 2022
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PHILIPS RESPIRONICS INC SENT ME A REFURBISHED DEVICE AS PART OF THE RECALL OF MY DREAMSTATION MACHINE. I AM SUFFERING FROM ANXIETY USING THIS DEVICE AS IT'S REFURBISHED. I DON'T KNOW WHAT'S NEW? WHERE IT'S BEEN USED? WHOSE HAD IT? HOW LONG IT WILL LAST? I AM CONCERNED OVER THE HYGIENE AND HOW CLEAN THE MACHINE IS. I WOULD LIKE A BRAND NEW DEVICE FOR PIECE OF MIND. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1577019 | DREAMSTATION 1 | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DREAMSTATION 1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Male | BENICAR METOPROLOL | CRESTOR| ZOLOFT |