FDA Adverse Event
Death
Summary report: N
REP DREAMSTATION AUTO CPAP
MDR report key: 23767356
·
Received December 10, 2025
Report
- Report Number
- 2518422-2025-112467
- Event Type
- Death
- Date Received
- December 10, 2025
- Date of Event
- October 28, 2024
- Report Date
- December 10, 2025
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959429765
- PMA / PMN Number
- K131982
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION ALLEGING A PATIENT WITH A REP DREAMSTATION AUTO CPAP HAS PASSED AWAY AND THE PATIENT REPRESENTATIVE IS REQUESTING A SHIPPING LABEL TO RETURN THE DEVICE. THE REPORTED EVENT MAKES NO ALLEGATION OF ANY SPECIFIC DEVICE MALFUNCTION, USE ERROR, FAILURE, LABELING, OR OTHER DEFICIENCY THAT IS RELEVANT TO THE HARMS REPORTED; THEREFORE, BASED ON INFORMATION AVAILABLE AT THIS TIME, THE DEVICE DID NOT CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR DEATH. DURING THE EVALUATION OF THE DEVICE, IT WAS FOUND THAT THE DEVICE WAS IN GOOD CONDITION. ADDITIONAL INFORMATION HAS BEEN REQUESTED REGARDING THE DETAILS OF THE REPORTED DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2877226 | REP DREAMSTATION AUTO CPAP | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | UDSX500S11F | 00606959429765 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |