FDA Adverse Event
Malfunction
Summary report: N
DS2ADV AUTO CPAP
MDR report key: 23345315
·
Received October 21, 2025
Report
- Report Number
- 2518422-2025-049887
- Event Type
- Malfunction
- Date Received
- October 21, 2025
- Date of Event
- January 30, 2024
- Report Date
- May 28, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959075634
- PMA / PMN Number
- K200480
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DE, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE MANUFACTURER INADVERTENTLY CAPTURED IN BOX H: IF FOLLOW-UP, WHAT TYPE AS REQUIRED AND DEVICE EVALUATION, IT SHOULD BE NOT APPLICABLE.
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION FROM CUSTOMER IN REFERENCE TO A DS2ADV AUTO CPAP WITH AN ALLEGATION OF DS2 MACHINE IS NOT WORKING PROPERLY. IT IS BARELY BLOWING OUT ANY AIR. THERE WAS NO REPORT OF SERIOUS INJURY OR HARM. THERE IS NO MEDICAL INTERVENTION WAS SPECIFIED. THE DEVICE WAS RETURNED TO THE THIRD-PARTY SERVICE CENTER FOR FURTHER EVALUATION. THERE WAS ONE ERROR CODE FOUND. DURING THE INVESTIGATION, OBSERVED INLET/OUTLET SEAL WITH CONTAMINATION, BLOWER BOX WITH CONTAMINATION AND ISO PORT WITH CONTAMINATION. THE CUSTOMER COMPLAINT WAS REPRODUCED. THE DEVICE WAS SCRAPPED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 122393 | DS2ADV AUTO CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DSX520T11C | 00606959075634 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |