FDA Adverse Event Injury Summary report: N

DREAMSTATION AUTO CPAP

MDR report key: 20276811 · Received September 23, 2024

Report

Report Number
2518422-2024-59281
Event Type
Injury
Date Received
September 23, 2024
Date of Event
October 9, 2023
Report Date
September 23, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959051515
PMA / PMN Number
K131982
Removal / Correction Number
Z-1974-2021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THE MANUFACTURER WAS CONTACTED IN REFERENCE TO THE VOLUNTARY FIELD SAFETY NOTICE / RECALL NOTIFICATION RELATED TO THE SOUND ABATEMENT FOAM IN CERTAIN CPAP, BIPAP, AND MECHANICAL VENTILATOR DEVICES. THE MANUFACTURER RECEIVED INFORMATION ALLEGING EYE IRRITATION, SKIN IRRITATION, RESPIRATORY TRACT IRRITATION, DIZZINESS, HEADACHE, HYPERSENSITIVITY, NAUSEA, VOMITING, ASTHMA (NEW OR WORSENING), INFLAMMATORY RESPONSE, KIDNEY DISEASE OR TOXICITY, LUNG DISEASE, OTHER (UNSPECIFIED EVENT), RESPIRATORY FAILURE, LUNG DAMAGE, KIDNEY DAMAGE, RESPIRATORY ISSUES, REACTIVE AIRWAY DISEASE (RAD), AND ACUTE RESPIRATORY DISTRESS SYSTEM (ARDS). THE MANUFACTURER'S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1430350 DREAMSTATION AUTO CPAP VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DSX500H11C 00606959051515

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other