FDA Adverse Event
Malfunction
Summary report: N
DS2ADV AUTO CPAP
MDR report key: 18980219
·
Received March 26, 2024
Report
- Report Number
- 2518422-2024-14878
- Event Type
- Malfunction
- Date Received
- March 26, 2024
- Date of Event
- October 1, 2023
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- 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-5152151) IN WHICH THE PATIENT ALLEGES THE DEVICE TO OVERHEAT AND EMIT A BAD SMELL. PATIENT STATED THAT THIS HAPPENS CONSTANTLY INCONSTANT, ABOUT THREE TIMES A MONTH. 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 |
|---|---|---|---|---|---|---|---|
| 4600 | DS2ADV AUTO CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DSX520T11C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |