FDA Adverse Event Death Summary report: N

REP DREAMSTATION AUTO BIPAP

MDR report key: 20046978 · Received August 23, 2024

Report

Report Number
2518422-2024-52977
Event Type
Death
Date Received
August 23, 2024
Date of Event
July 3, 2023
Report Date
August 22, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959429772
PMA / PMN Number
K131982
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THE MANUFACTURER BECAME AWARE OF AN ALLEGATION OF REP DREAMSTATION AUTO BIPAP THAT THE PATIENT HAS PASSED AWAY. THERE WAS NO REPORT OF MEDICAL INTERVENTION. NO ADDITIONAL INFORMATION CAN BE REQUESTED AT THIS TIME. THE MANUFACTURER WAS MADE AWARE OF THIS COMPLAINT THROUGH A REPRESENTATIVE OF THE CUSTOMER. 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
1313132 REP DREAMSTATION AUTO BIPAP VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. UDSX700S11F 00606959429772

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death