FDA Adverse Event Injury Summary report: N

DS2ADV AUTO CPAP

MDR report key: 18741934 · Received February 20, 2024

Report

Report Number
2518422-2024-08589
Event Type
Injury
Date Received
February 20, 2024
Date of Event
January 22, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
PMA / PMN Number
K200480
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

H3 OTHER TEXT : DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION ALLEGING A DREAMSTATION 2 ADVANCED AUTO CPAP DEVICE IS GIVING THE PATIENT HIGH BLOOD PRESSURE. THE PATIENT STATED THAT HIS BLOOD PRESSURE WENT UP TO 156-160 AND HE NORMALLY HAS 120-126 BLOOD PRESSURE. THE PATIENT STATED HE WAS TOLD BY HIS DOCTOR THAT IS WAS BECAUSE OF THE DEVICE WHICH IS NOT SET WITH THE CORRECT PRESSURE SETTING. THE PATIENT WAS REFERRED TO PHILIPS TO GET A DEVICE WITH THE CORRECT SETTING. THE PATIENT REPORTS CLEANING ONLY THE ACCESSORIES WITH WATER AND SOAP PER THE INSTRUCTIONS. THE PRESSURE SETTING IS 5. MEDICAL INTERVENTION WAS NOT SPECIFIED. THE MANUFACTURER'S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1086641 DS2ADV AUTO CPAP VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DSX520H11C

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Life Threatening