FDA Adverse Event Death Summary report: N

ESSENCE WITH SSD

MDR report key: 20306276 · Received September 25, 2024

Report

Report Number
2518422-2024-59658
Event Type
Death
Date Received
September 25, 2024
Date of Event
June 7, 2022
Report Date
September 25, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BTI
UDI-DI
00383730001951
PMA / PMN Number
K042655
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THE MANUFACTURER WAS CONTACTED IN REFERENCE TO AN ESSENCE DEVICE. THERE WAS AN ALLEGATION OF PATIENT PASSING AWAY. 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
1199249 ESSENCE WITH SSD NEBULIZER SYSTEM, NON-HEATED BTI RESPIRONICS, INC. 1112261 00383730001951

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death