FDA Adverse Event Injury Summary report: N

SWIFT LT FOR HER MASK SYS - USA

MDR report key: 1935341 · Received December 15, 2010

Report

Report Number
3004604967-2010-00046
Event Type
Injury
Date Received
December 15, 2010
Date of Event
October 15, 2010
Report Date
December 14, 2010
Manufacturer
RESMED LTD.
Product Code
BZD
PMA / PMN Number
K073638
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESMED WAS INFORMED THAT A PATIENT WEARING A CPAP NASAL PILLOW MASK HAD A NOSE BLEED THAT WOULD NOT STOP. THE PATIENT THEN WENT TO THE EMERGENCY ROOM WHERE SHE WAS REPORTED TO HAVE A RUPTURED SINUS CAVITY. THE MASK WAS NOT RETURNED TO THE MANUFACTURER FOR AN INVESTIGATION NOR IS THE MASK ALLEGED TO HAVE BEEN MALFUNCTIONING. WITH THE INFORMATION AVAILABLE RESMED'S CHIEF MEDICAL OFFICER PROVIDED THE FOLLOWING OPINION: "CPAP CAN AGGRAVATE PRE-EXISTING SINUS CONDITIONS AS THE PRESSURE MAY IMPEDE DRAINAGE AND CAUSE PAIN. IT IS POSSIBLE THAT CPAP AGGRAVATED A PRE-EXISTING CONDITION IN THIS PATIENT INVESTIGATION OF WHICH HAS REVEALED THE PRESENCE OF A FRACTURE OR SIMILAR ISSUE, BUT IT IS NOT PLAUSIBLE THAT THE DEVICE LED TO THE RUPTURE OF A NORMAL SINUS CAVITY."

Description of Event or Problem · 1

A PATIENT USING A CPAP MACHINE WENT TO THE EMERGENCY ROOM WHERE SHE WAS REPORTED TO HAVE A RUPTURED SINUS CAVITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SWIFT LT FOR HER MASK SYS - USA BZD RESMED LTD. 60588

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention RESPIRONICS FLOW GENERATOR SETUP ON (B)(4)-2010