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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS ELECTRONICS LTD SYSTEM ONE; VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING

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PHILIPS ELECTRONICS LTD SYSTEM ONE; VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING Back to Search Results
Patient Problems Atrial Fibrillation (1729); Dyspnea (1816); Heart Failure/Congestive Heart Failure (4446); Cough (4457); Renal Impairment (4499)
Event Type  Injury  
Event Description
Began using philips cpap in 2010.Shortly after, began coughing, shortness of breath and sinus issues.Developed a-fib(atrial fibrillation), heart failure, and chronic kidney disease.
 
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Brand Name
SYSTEM ONE
Type of Device
VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING
Manufacturer (Section D)
PHILIPS ELECTRONICS LTD
MDR Report Key18596395
MDR Text Key334088746
Report NumberMW5150836
Device Sequence Number1
Product Code MNS
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other
Type of Report Initial
Report Date 01/24/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/26/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Patient Sequence Number1
Patient Outcome(s) Life Threatening; Required Intervention; Other; Hospitalization; Disability;
Patient Age75 YR
Patient SexMale
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