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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS / RESPIRONICS, INC DREAM STATION AUTO CPAP HUMHTCELL DOM; VENTILATOR, NON-CONTINUOUS (RESPIRATOR)

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PHILIPS / RESPIRONICS, INC DREAM STATION AUTO CPAP HUMHTCELL DOM; VENTILATOR, NON-CONTINUOUS (RESPIRATOR) Back to Search Results
Model Number DSX500T 11C
Patient Problems Apnea (1720); Dyspnea (1816)
Event Date 06/20/2022
Event Type  Injury  
Event Description
I have sleep apnea.Unable to wear cpap(continuous positive airway pressure) due to device was suffocating me in my sleep.This is the reason why i've stopped wearing it.Tested positive for sleep apnea.Cpap required for sleep.
 
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Brand Name
DREAM STATION AUTO CPAP HUMHTCELL DOM
Type of Device
VENTILATOR, NON-CONTINUOUS (RESPIRATOR)
Manufacturer (Section D)
PHILIPS / RESPIRONICS, INC
MDR Report Key18704405
MDR Text Key335461727
Report NumberMW5151579
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 02/08/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/13/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Expiration Date07/16/2018
Device Model NumberDSX500T 11C
Was Device Available for Evaluation? Yes
Patient Sequence Number1
Treatment
BD NEEDLES; CEPHALEXIN ; DICLOFENAC ; ESOMEPRAOLE ; FAMOTIDINE ; GABAPENTIN ; LAMOTRIGINE ; LIRGLUTIDE ; MENS VITAMINS; NALOXONE ; NORCO CYCLOBENZAPRINE ; OXYCODONE ; POLYETHYLENE GLYCOL ; PRAZOSIN ; QUETIAPINE; TYLENOL WITH HYDROCODONE
Patient Outcome(s) Other;
Patient Age37 YR
Patient SexMale
Patient Weight111 KG
Patient EthnicityNon Hispanic
Patient RaceAmerican Indian Or Alaskan Native, White
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