M-SERIES (DC) HEATED HUMIDIFIER CPAP SYSTEM
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
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 |