FDA Adverse Event Malfunction Summary report: N

PHILIPS CPAP DEVICE

MDR report key: 18866345 · Received March 8, 2024

Report

Report Number
2518422-2024-12835
Event Type
Malfunction
Date Received
March 8, 2024
Date of Event
June 20, 2022
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Removal / Correction Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

SINCE NO DEVICE INFORMATION WAS PROVIDED, THE EXACT RECALL NUMBER IS UNKNOWN. POSSIBLE RECALL NUMBERS INCLUDE Z-1972-2021, Z-1973-2021, AND Z-1974-2021. H3 OTHER TEXT : DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW-5151579) IN WHICH THE PATIENT ALLEGES UNABLE TO WEAR CPAP DUE TO DEVICE IS SUFFOCATING DURING SLEEP, WHICH IS THE REASON WHY PATIENT STOP USING IT. MEDICAL INTERVENTION WAS NOT SPECIFIED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR INVESTIGATION. 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
881286 PHILIPS CPAP DEVICE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DSX500T11C

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown