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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESMED CORP RESMED AIRSENSE 11; VENTILATOR, NON-CONTINUOUS (RESPIRATOR)

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RESMED CORP RESMED AIRSENSE 11; VENTILATOR, NON-CONTINUOUS (RESPIRATOR) Back to Search Results
Patient Problems Unspecified Respiratory Problem (4464); Swelling/ Edema (4577)
Event Date 01/24/2024
Event Type  Injury  
Event Description
Reporter calling, stating his resmed airsense 11 produced an error message about the "heating supply not working".Reporter states he contacted the medical supply company, aerocare, about the error message received on the device and was told the machine would need repaired.Reporter states that aerocare supplied him with a previously used "rental" unit while they were repairing his device, and reporter was provided this unit on (b)(6) 2024.Reporter states that when this rental unit was taken off of the shelf, it appeared "dusty and dirty" and that an employee at aerocare proceeded to casually wipe the device, however reporter states he had overall sanitary concerns with this rental unit after seeing its condition when it was presented to him.Reporter states he was concerned about using this previously used device, however had no other option since they now had his original machine for repairs.Reporter states he prepared the device for use that evening, and when he turned the rental unit on it "smelled like a moldy, wet ashtray".Reporter states he tried to let the machine air out but this did not help very much and the device continued to smell.Reporter states he used the device, and woke up on (b)(6) 2024 with "burning eyes, congestion" and states that half of his face is swollen.Reporter states he will be contacting his physician today regarding these symptoms.Reporter states the rental unit he was provided from aerocare is also a resmed machine "made in singapore" with "fcc id: 2achl-air11m1" and "device number 953".Reporter states he is concerned with the overall quality and sanitary measures at aerocare.Reporter states the address is: (b)(6).Reference report: mw5150702.
 
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Brand Name
RESMED AIRSENSE 11
Type of Device
VENTILATOR, NON-CONTINUOUS (RESPIRATOR)
Manufacturer (Section D)
RESMED CORP
MDR Report Key18586600
MDR Text Key333957319
Report NumberMW5150701
Device Sequence Number1
Product Code BZD
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 01/25/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/25/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexMale
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