FDA Adverse Event
Malfunction
Summary report: N
DREAM STATION 2 AUTO CPAP ADVANCED
MDR report key: 17690979
·
Received September 5, 2023
Report
- Report Number
- MW5145182
- Event Type
- Malfunction
- Date Received
- September 5, 2023
- Date of Event
- August 1, 2023
- Report Date
- August 29, 2023
- Manufacturer
- PHILLIPS/RESPIRONICS, INC
- Product Code
- BZD
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
CONTINUED PROBLEMS WITH FUNCTION OF MACHINE SINCE (B)(6) 2022. ADVENT HEALTH RESPIRATORY REFUSED TO SERVICE THE PRODUCT OR RETURN TO MANUFACTURER. HUMIDIFIER, POWER SWITCH, AND VARIABLE PRESSURE ARE NOT WORKING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1379225 | DREAM STATION 2 AUTO CPAP ADVANCED | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | PHILLIPS/RESPIRONICS, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Male |