Brand Name | TRILOGY BIPAP |
Type of Device | CONTINUOUS, VENTILATOR, HOME USE |
Manufacturer (Section D) |
PHILIPS / RESPIRONICS, INC. |
|
|
MDR Report Key | 18159385 |
MDR Text Key | 328525901 |
Report Number | MW5148236 |
Device Sequence Number | 1 |
Product Code |
NOU
|
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 Family Member or Friend
|
Type of Report
| Initial |
Report Date |
11/14/2023 |
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
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 11/16/2023 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
Death;
|
Patient Age | 77 YR |
Patient Sex | Female |
Patient Weight | 77 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
|