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