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 |