FDA Adverse Event Other Summary report: N

VPAP S

MDR report key: 2550409 · Received April 20, 2012

Report

Report Number
3004604967-2012-00016
Event Type
Other
Date Received
April 20, 2012
Date of Event
March 1, 2012
Report Date
April 20, 2012
Manufacturer
RESMED LTD
Product Code
BZD
PMA / PMN Number
K080131
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN RETURNED TO THE MFR. RESMED HAS REQUESTED THE DEVICE BE RETURNED SO AN ENGINEERING INVESTIGATION CAN BE PERFORMED. THE RPTR STATED THEY SPOKE WITH THE PT ON THE DAY OF THE OCCURRENCE AND DID NOT NOTICE ANY SHORTNESS OF BREATH OR OTHER PHYSICAL ISSUES.

Description of Event or Problem · 1

IT WAS REPORTED TO THE MFR THAT A PT USING A RESMED DEVICE HEARD A HIGH PITCHED NOISE THEN SMELLED BURNT PLASTIC COMING FROM THEIR VPAP UNIT. THE PT THEN REPORTED HAVING A HEADACHE AND SHORTNESS OF BREATH WHICH LED THEM TO SEEK MEDICAL ATTENTION. THE PT WENT TO THE EMERGENCY ROOM AND HAD CHEST X-RAYS AND BLOOD WORK TESTS PERFORMED. IT WAS STATED THEY HAD THEIR OXYGEN LEVEL MEASURE IN THE LOW 80'S.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VPAP S BZD RESMED LTD 2611902

Patients

Seq Age Sex Outcome Treatment
1 Other OXYGEN