FDA Adverse Event
Death
Summary report: N
UNKNOWN
MDR report key: 1893444
·
Received November 4, 2010
Report
- Report Number
- 3004604967-2010-00039
- Event Type
- Death
- Date Received
- November 4, 2010
- Date of Event
- January 1, 2008
- Report Date
- November 4, 2010
- Manufacturer
- RESMED LTD.
- Product Code
- BZD
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
RESPIRONICS INFORMED RESMED OF A CPAP RELATED DEATH THAT OCCURRED APPROXIMATELY TWO AND A HALF (2.5) YEARS-AGO. ACCORDING TO THE REPORTED INFO, A PT WAS USING A RESPIRONICS FLOW GENERATOR (FG), (PART NUMBER UNK), IN COMBINATION WITH A RESMED MIRAGE FULL FACE MASK, (PART NUMBER UNK). THE PT HAD JUST EXITED SURGERY AND WAS PLACED ON CPAP THERAPY (RESPIRONICS FG AND RESMED MASK). WHILE ON THERAPY, THE PT VOMITED AND EXPIRED. RESPIRONICS WAS INFORMED OF THE EVENT FROM A DR. (B)(6) (MEDICAL EXPERT WORKING WITH (B)(6); AN ATTORNEY REPRESENTING THE DECEASED FAMILY MEMBERS).
Description of Event or Problem · 1
RESMED WAS MADE AWARE THAT A PT EXPIRED WEARING A RESMED CPAP MASK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN | BZD | RESMED LTD. | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death | A RESPIRONICS FLOW GENERATOR.| CPAP MASK AND| IT WAS REPORTED THAT THE PT WAS SETUP ON A RESMED |