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 |