FDA Adverse Event Injury Summary report: N

CPAP MACHINE

MDR report key: 19559750 · Received June 17, 2024

Report

Report Number
MW5156355
Event Type
Injury
Date Received
June 17, 2024
Date of Event
January 20, 2020
Report Date
June 12, 2024
Manufacturer
PHILLIPS / RESPIRONICS INC.
Product Code
BZD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

I USED THE PHILLIPS (LATER RECALLED) CPAP. I CALLED THE COMPANY PRIOR TO ANY RECALL NOTICE TO LET THEM KNOW THERE WERE BLACK PARTICLES FLOATING INSIDE THE WATER CHAMBER. THEY SAID TO CONTINUE USING THE MACHINE AND THIS WAS SOMETIMES NORMAL. I WAS LATER DIAGNOSED WITH KIDNEY CANCER AND HAD A KIDNEY REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1511859 CPAP MACHINE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD PHILLIPS / RESPIRONICS INC.

Patients

Seq Age Sex Outcome Treatment
1 68 YR Male Hospitalization| S| L PRAZOSIN.