FDA Adverse Event Malfunction Summary report: N

PHILIP CPAP DEVICE

MDR report key: 21500884 · Received March 2, 2025

Report

Report Number
2518422-2025-024975
Event Type
Malfunction
Date Received
March 2, 2025
Date of Event
January 13, 2020
Report Date
July 25, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

SINCE NO DEVICE INFORMATION WAS PROVIDED, THE EXACT RECALL NUMBER IS UNKNOWN. POSSIBLE RECALL NUMBERS INCLUDE Z-1972-2021, Z-1973-2021, AND Z-1974-2021.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WAS RECEIVED ON OCTOBER 28, 2024, AND SECTION H11 SHOULD BE REPORTED AS: THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW5151051) IN WHICH THE PATIENT ALLEGES THAT HAVE BEEN DIAGNOSED WITH LUNG NODULES. MEDICAL INTERVENTION WAS NOT SPECIFIED. AFTER THE FIRST ATTEMPT TO HAVE THE DEVICE AND COMPONENTS EVALUATED, THE CUSTOMER HAS BEEN RESPONDED BUT DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. THE MANUFACTURER IS SUBMITTING AN UPDATED REPORT AT THIS TIME. AFTER DEVICE RETURN AND COMPLETION OF EVALUATION, A FOLLOW-UP REPORT WILL BE FILED. SECTION G AND H UPDATED IN THIS REPORT.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED A VOLUNTARY MEDWATCH (MW-5151051) IN WHICH THE PATIENT ALLEGES THAT HAVE BEEN DIAGNOSED WITH LUNG NODULES. MEDICAL INTERVENTION WAS NOT SPECIFIED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR INVESTIGATION. THE MANUFACTURER'S INVETIGATION 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
1147035 PHILIP CPAP DEVICE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown