FDA Adverse Event Injury Summary report: N

SWIFT LT PILLOW - MED

MDR report key: 1612773 · Received February 17, 2010

Report

Report Number
3004604967-2010-00011
Event Type
Injury
Date Received
February 17, 2010
Date of Event
January 1, 2010
Report Date
February 16, 2010
Manufacturer
RESMED LTD.
Product Code
BZD
PMA / PMN Number
K073638
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MASK WAS NOT RETURNED TO RESMED FOR EVAL. WITH THE INFO AVAILABLE, THE SEIZURE IS NOT BELIEVED TO HAVE BEEN CAUSED BY INTERRUPTED CPAP THERAPY. THIS IS BASED ON THE CLINICAL OPINION OF RESMED'S MEDICAL DIRECTOR AS THERE IS NO DOCUMENTED CAUSAL RELATIONSHIP BETWEEN OSA AND GENERALIZED SEIZURES.

Description of Event or Problem · 1

RESMED CORP RECEIVED AN EMAIL FROM A PT CLAIMING THAT POOR QUALITY NASAL PILLOWS CREATED OXYGEN DEPRIVATION WHICH CAUSED HIM TO HAVE A GRAND MAL SEIZURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SWIFT LT PILLOW - MED SWIFT LT PILLOW BZD RESMED LTD. 60572

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization