Brand Name | DREAMSTATION GO |
Type of Device | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) |
Manufacturer (Section D) |
PHILIPS / RESPIRONICS INC. |
|
|
MDR Report Key | 16701403 |
MDR Text Key | 312985713 |
Report Number | MW5116437 |
Device Sequence Number | 1 |
Product Code |
BZD
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
04/04/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Model Number | GO |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 04/06/2023 |
Patient Sequence Number | 1 |
Treatment | CPAP, LISINOPRIL, REPATHA, STEROID CREAM. |
Patient Outcome(s) |
Disability;
|
Patient Age | 49 YR |
Patient Sex | Male |
Patient Weight | 118 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
|