FDA Adverse Event Malfunction Summary report: N

SLEEPSTYLE AUTO

MDR report key: 20689797 · Received November 14, 2024

Report

Report Number
9611451-2024-00779
Event Type
Malfunction
Date Received
November 14, 2024
Report Date
October 17, 2024
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BZD
UDI-DI
09420012437068
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). METHOD: FISHER & PAYKEL HEALTHCARE REQUESTED THE COMPLAINT SLEEPSTYLE AUTO CPAP FOR EVALUATION BUT WAS NOT RETURNED. OUR INVESTIGATION IS BASED ON THE INFORMATION, INCLUDING PHOTOGRAPHS, PROVIDED BY THE CUSTOMER AND OUR KNOWLEDGE OF THE PRODUCT. RESULT: REVIEW OF THE PHOTOGRAPHS PROVIDED BY THE CUSTOMER SHOWED A BROKEN AND DISLODGED POWER SOCKET OF A SLEEPSTYLE AUTO CPAP. CONCLUSION: WITHOUT THE COMPLAINT DEVICE, WE ARE UNABLE TO CONFIRM THE ROOT CAUSE OF THE REPORTED EVENT. OUR USER INSTRUCTIONS THAT ACCOMPANY THE SLEEPSTYLE AUTO CPAP STATE THE FOLLOWING: - DO NOT USE IF THE DEVICE, POWER CORD, OR ACCESSORIES ARE DAMAGED, DEFORMED OR CRACKED. - DO NOT PULL ON THE POWER CORD AS IT MAY BECOME DAMAGED. - TURN THE DEVICE OFF AT THE POWER SUPPLY, THEN REMOVE THE POWER CORD FROM THE REAR OF THE DEVICE. SPSAAN IS NOT SOLD IN THE USA BUT IT IS SIMILAR TO A PRODUCT WHICH IS SOLD IN THE USA. THE 510(K) FOR THE SIMILAR PRODUCT IS K173193.

Description of Event or Problem · 0

A DISTRIBUTOR IN CANADA REPORTED THAT THE SLEEPSTYLE CPAP HAS BROKEN POWER CONNECTION AND THE MACHINE TURNS OFF DURING USE. THERE WAS NO REPORTED PATIENT CONSEQUENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1351512 SLEEPSTYLE AUTO CPAP BZD FISHER & PAYKEL HEALTHCARE LTD SPSAAN 2100924094 09420012437068

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown