FDA Adverse Event
Injury
Summary report: N
NON-INVASIVE VENTILATOR
MDR report key: 17611387
·
Received August 23, 2023
Report
- Report Number
- MW5144915
- Event Type
- Injury
- Date Received
- August 23, 2023
- Date of Event
- August 13, 2023
- Report Date
- August 21, 2023
- Manufacturer
- UNK
- Product Code
- CBK
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TN, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PATIENT STATES SHE HAS A NON-INVASIVE VENTILATOR. SHE WAS HOSPITALIZED ON (B)(6) DUE TO THE SETTINGS ON VENTILATOR NOT WORKING AND HER PULSE OX AT 74. SHE STATES SHE DIDN'T TAKE EPCLUSA FROM (B)(6), 2023 DUE TO "NOT BEING ABLE TO HANDLE IT." SHE RESUMED ON (B)(6), 2023. SHE REPORTS "FLU-LIKE SYMPTOMS" AS SIDE EFFECT OF EPCLUSA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 858783 | NON-INVASIVE VENTILATOR | VENTILATOR, CONTINUOUS, FACILITY USE | CBK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female | Hospitalization | EPCLUSA |