FDA Adverse Event Death Summary report: N

PHILIPS CPAP DEVICE

MDR report key: 18868715 · Received March 8, 2024

Report

Report Number
2518422-2024-12850
Event Type
Death
Date Received
March 8, 2024
Date of Event
February 29, 2024
Report Date
July 25, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Removal / Correction Number
UNKNOWN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, 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.

Additional Manufacturer Narrative · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW5152045) IN WHICH THE PATIENT WAS FOUND DECEASED, WHILE USING ON THE CPAP MACHINE. MEDICAL INTERVENTION WAS NOT SPECIFIED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR INVESTIGATION. REPEATED ATTEMPTS TO HAVE THE DEVICE AND COMPONENTS RETURNED FOR EVALUATION AND INVESTIGATION WERE UNSUCCESSFUL. THE MANUFACTURER BELIEVES THEY WILL BE UNABLE TO GATHER ADDITIONAL INFORMATION. THE MANUFACTURER IS SUBMITTING A FINAL REPORT AT THIS TIME. IF PERTINENT INFORMATION BECOMES AVAILABLE TO THE MANUFACTURER AT A LATER DATE, AN ADDENDUM TO THIS FINAL REPORT WILL BE FILED. BOX H: EVALUATION METHOD CODE, EVALUATION RESULTS CODE, COMPONENT CODE GRID AND CONCLUSION CODE GRID HAS BEEN UPDATED.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW-5152045) IN WHICH THE PATIENT WAS FOUND DECEASED, WHILE USING ON THE CPAP MACHINE. 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
156803 PHILIPS CPAP DEVICE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death