FDA Adverse Event
Malfunction
Summary report: N
DS2ADV AUTO CPAP
MDR report key: 21735680
·
Received March 31, 2025
Report
- Report Number
- 2518422-2025-040475
- Event Type
- Malfunction
- Date Received
- March 31, 2025
- Date of Event
- March 22, 2024
- Report Date
- June 18, 2025
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959062740
- PMA / PMN Number
- K131982
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE INFORMATION REPORTED WITH MDR 2518422-2025-040475 IS CONSIDERED AS NOT REPORTABLE. IN THIS REPORT A CORRECTION HAS BEEN MADE.
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION ALLEGING RESPIRATORY ISSUE. NO OTHER CLINICAL INFORMATION OR MEDICAL INTERVENTIONS WERE 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 |
|---|---|---|---|---|---|---|---|
| 1041302 | DS2ADV AUTO CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DSX520T11C | 00606959062740 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Male |