FDA Adverse Event Injury Summary report: N

BZD

MDR report key: 20368114 · Received October 4, 2024

Report

Report Number
2518422-2024-60471
Event Type
Injury
Date Received
October 4, 2024
Date of Event
October 9, 2023
Report Date
October 4, 2024
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959005921
PMA / PMN Number
K131982
Removal / Correction Number
Z-1974-2021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, 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, NOSE IRRITATION, RESPIRATORY TRACT IRRITATION, DIZZINESS AND/OR HEADACHE, LUNG DISEASE REDUCED CARDIOPULMONARY RESERVE AND OTHER. 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. THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER. AT THIS TIME, NO FURTHER INVESTIGATION CAN BE REQUESTED AT THIS TIME. IF ANY ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1173104 BZD VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. AH660HS 00606959005921

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other