FDA Adverse Event Death Summary report: N

RENTAL, DREAMSTATION ST30, GB

MDR report key: 21955188 · Received May 2, 2025

Report

Report Number
2518422-2025-105135
Event Type
Death
Date Received
May 2, 2025
Date of Event
May 1, 2025
Report Date
August 5, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
MNS
UDI-DI
00606959418981
PMA / PMN Number
K102465
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER RECEIVED INFORMATION THAT A PATIENT WITH A DREAMSTATION ST30 DEVICE HAS PASSED AWAY. THERE WAS NO ALLEGATION THAT THE DEVICE CONTRIBUTED TO THE DEATH. THE CAUSE OF DEATH WAS NOT PROVIDED. NO ADDITIONAL DETAILS WERE PROVIDED. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. THREE ATTEMPTS TO HAVE THE DEVICE RETURNED FOR EVALUATION VIA EMAIL TO THE NHS (NATIONAL HEALTH SERVICE) ([email protected]) ON 06/30/2025, 07/03/2025, 07/09/2025. NO RESPONSE WAS RECEIVED. AT THIS TIME, NO FURTHER INVESTIGATION CAN BE PERFORMED. IF ANY ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW UP REPORT WILL BE FILED.

Description of Event or Problem · 0

THE MANUFACTURER RECEIVED INFORMATION THAT A PATIENT WITH A DREAMSTATION ST30 DEVICE HAS PASSED AWAY. THERE WAS NO ALLEGATION THAT THE DEVICE CONTRIBUTED TO THE DEATH. THE CAUSE OF DEATH WAS NOT PROVIDED. NO ADDITIONAL DETAILS WERE PROVIDED. 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
469517 RENTAL, DREAMSTATION ST30, GB VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING MNS RESPIRONICS, INC. RGBX1030S20 00606959418981

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death