FDA Adverse Event Injury Summary report: N

M-SERIES (DC) HEATED HUMIDIFIER CPAP SYSTEM

MDR report key: 3202295 · Received June 26, 2013

Report

Report Number
MW5030707
Event Type
Injury
Date Received
June 26, 2013
Date of Event
June 20, 2013
Report Date
June 26, 2013
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE HUMIDIFIER STOPPED WORKING AND STARTED FLASHING CONTINUOUSLY. I FOLLOWED ALL STEPS DEFINED IN USER'S MANUAL WITHOUT LUCK. CONTACTED SUPPLIER AND MFR TO GET THE ISSUE ADDRESSED ALSO WITHOUT LUCK. I DID SOME RESEARCH AND FOUND THAT THIS EXACT SAME PRODUCT (M SERIES HUMIDIFIER MODEL# 1051158) HAS BEEN RECALLED IN THE (B)(4) FOR THE EXACT SAME PROBLEM I AM HAVING. THERE IS A US RECALL. (HTTP://WWW.ACCESSDATA.FDA.GOV/SCRIPTS/CDRH/CFDOCS/CFRES/RES.CFM?ID=81028) ISSUED FOR THE SAME ISSUE BUT MY MODEL IS NOT LISTED IN THE US RECALL. THUS WHY THEY DON'T FEEL IT APPLIES. DOING SOME ADDITIONAL RESEARCHES I FOUND A BUNCH OF "ADVERSE EVENT REPORTS" ON THIS MODEL THAT CLEARLY REFER TO THE US FDA RECALL ABOVE EVEN THOUGH IT DOES NOT LIST THIS MODEL NUMBER. IF YOU READ HTTP://WWW.ACCESSDATA.FDA.GOV/SCRIPTS/CDRH/CFDOCS/CFMAUDE/DETAIL.CFM?MDRFOI_ID=1816044 WHICH IS CLEARLY IDENTIFIED AS MODEL# 1051158 AND SAYS RECALLED AS PART OF RECALL# Z-1260-2009 WHICH IS THE US FDA RECALL LISTED ABOVE. CLEARLY THIS UNIT DEFECTIVE AND SHOULD BE REPLACED BY THE SUPPLIER OR MFR AT NO COST TO ME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
289654 M-SERIES (DC) HEATED HUMIDIFIER CPAP SYSTEM M-SERIES (DC) HEATED HUMIDIFIER CPAP SYSTEM BZD RESPIRONICS, INC. 1051158

Patients

Seq Age Sex Outcome Treatment
1 46 YR Required Intervention