FDA Adverse Event Malfunction Summary report: N

PHILIPS CPAP DEVICE

MDR report key: 19059117 · Received April 8, 2024

Report

Report Number
2518422-2024-15110
Event Type
Malfunction
Date Received
April 8, 2024
Date of Event
February 16, 2024
Report Date
August 13, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Removal / Correction Number
UKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, 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 THE MANUFACTURER.

Additional Manufacturer Narrative · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW 5152032) IN WHICH THE PATIENT ALLEGES THAT HAVE EXPERIENCE CONTINUOUS ALLERGY LIKE SYMPTOMS SUCH AS SNEEZING, NASAL CONGESTION ETC. MEDICAL INTERVENTION WAS NOT SPECIFIED. 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: COMPONENT CODE GRID HAS BEEN UPDATED.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW 5152032) IN WHICH THE PATIENT ALLEGES THAT HAVE EXPERIENCE CONTINOUS ALLERGY LIKE SYMPTOMS SUCH AS SNEEZING, NASAL CONGESTION ETC. 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
417518 PHILIPS CPAP DEVICE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown