FDA Adverse Event Malfunction Summary report: N

DREAMSTATION 2 ADV AUTO CPAP

MDR report key: 21504474 · Received March 3, 2025

Report

Report Number
2518422-2025-102537
Event Type
Malfunction
Date Received
March 3, 2025
Date of Event
February 6, 2025
Report Date
May 28, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959062566
PMA / PMN Number
K200480
Removal / Correction Number
Z-1972-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SENT TO CORRECT OUR PREVIOUS SUBMISSION. UPDATED THE FOLLOWING: 510K: K200480. UDI: (B)(4). BOX D: DEVICE AVAILABLE FOR EVALUATION: YES. DATE RETURNED (RFB): 6/3/2025. BOX G: DATE RETURNED (RFB): FOREIGN. BOX H: DEVICE EVAL. BY MFG? NO INFORMATION. MANUFACTURE DATE: 7/22/2022. DEVICE AVAILABLE FOR EVALUATION? YES. REMEDIAL ACTION INIT (RFB): NA. RECALL (Z) NUMBER (RFB): NA.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION RELATED TO A DREAMSTATION 2 ADV AUTO CPAP DEVICE. THE PATIENT ALLEGES THE DEVICE IS OVERHEATING AND MELTING INTO THE LAMINATE TABLE. THERE WAS NO SERIOUS PATIENT HARM OR INJURY. THERE WAS NO MEDICAL INTERVENTION REPORTED. 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
469061 DREAMSTATION 2 ADV AUTO CPAP VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. CAX521H12C 00606959062566

Patients

Seq Age Sex Outcome Treatment
1