FDA Adverse Event Other Summary report: N

ELITE - AMERICAS

MDR report key: 2577615 · Received May 1, 2012

Report

Report Number
3004604967-2012-00018
Event Type
Other
Date Received
May 1, 2012
Date of Event
March 1, 2012
Report Date
May 1, 2012
Manufacturer
RESMED LTD.
Product Code
BZD
PMA / PMN Number
K091947
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE ASSOCIATED WITH THIS EVENT WAS NOT RETURNED TO THE MANUFACTURER AND IS NOT REPORTED TO HAVE MALFUNCTIONED. ON APRIL 2, 2012 RESMED'S CLINICAL SPECIALIST WAS MADE AWARE OF A PT BEING TREATED WITH AN S9 ELITE DEVICE REQUIRING RESUSCITATION. THE S9 ELITE IS DESIGNED FOR THE TREATMENT OF "OBSTRUCTIVE" SLEEP APNEA (OSA). THE CLINICAL SPECIALIST REVIEWED THE PT DATA AND FOUND INDICATION OF POTENTIAL "CENTRAL" SLEEP APNEA (CSA). BASED ON THIS INFO, RESMED REQUESTED THE REPORTER CONTACT THE DIAGNOSING PHYSICIAN TO REVIEW THE PT'S THERAPY AND THEIR PRESCRIBED DEVICE. ON APRIL 20, 2012 RESMED FOLLOWED-UP WITH THE REPORTER AND WAS INFORMED THAT THE PT'S NEUROLOGIST AGREED THAT THE PT MAY HAVE CSA ISSUES AND ORDERED ANOTHER SLEEP STUDY PERFORMED. THE SLEEP STUDY WAS PERFORMED AND THE PT WAS PRESCRIBED ANOTHER DEVICE TO TREAT THEIR SPECIFIC SLEEPING DISORDER.

Description of Event or Problem · 1

IT WAS REPORTED TO RESMED THAT A PT USING AN S9 ELITE DEVICE REQUIRED RESUSCITATION AND WAS HOSPITALIZED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELITE - AMERICAS BZD RESMED LTD. 36003

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| L