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