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. |