FDA Adverse Event Injury Summary report: N

PHILIPS CPAP DEVICE

MDR report key: 19274443 · Received May 8, 2024

Report

Report Number
2518422-2024-26483
Event Type
Injury
Date Received
May 8, 2024
Date of Event
February 19, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Removal / Correction Number
Z-1974-2021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

Z-1974-2021 - BZD K131982 Z-1972-2021 - MNS Z-1973-2021 - MNS DREAMSTATION ASV, ST, AVAPS . DUE TO THE MANUFACTURER NOT RECEIVING THE DEVICE INFORMATION, THE FOLLOWING ARE POSSIBLE RECALL Z NUMBERS : Z-1972-2021 . Z-1974-2021 . Z-1973-2021. H3 OTHER TEXT : DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 0

THE MANUFACTURER WAS CONTACTED IN REFERENCE TO THE VOLUNTARY FIELD SAFETY NOTICE / RECALL NOTIFICATION RELATED TO THE SOUND ABATEMENT FOAM IN CERTAIN CPAP, BIPAP, AND MECHANICAL VENTILATOR DEVICES. THE MANUFACTURER RECEIVED INFORMATION ALLEGING LUNG DISEASE. MEDICAL INTERVENTION WAS NOT SPECIFIED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. AT THIS TIME, NO FURTHER INVESTIGATION CAN BE PERFORMED. IF ANY ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW UP REPORT WILL BE FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
483117 PHILIPS CPAP DEVICE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other