FDA Adverse Event
Death
Summary report: N
REP DREAMSTATION BIPAP AUTOSV
MDR report key: 23770966
·
Received December 10, 2025
Report
- Report Number
- 2518422-2025-058931
- Event Type
- Death
- Date Received
- December 10, 2025
- Date of Event
- July 5, 2023
- Report Date
- December 10, 2025
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- MNS
- UDI-DI
- 00606959063495
- PMA / PMN Number
- K090539
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION ALLEGING A PATIENT WITH A REP DREAMSTATION BIPAP AUTOSV DEVICE HAS PASSED AWAY. THERE WAS NO ALLEGATION THAT THE DEVICE CONTRIBUTED TO THE DEATH. ADDITIONAL INFORMATION HAS BEEN REQUESTED REGARDING THE DETAILS OF THE REPORTED DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2107281 | REP DREAMSTATION BIPAP AUTOSV | VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING | MNS | RESPIRONICS, INC. | DSX900S11F | 00606959063495 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |