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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILLIPS RESPIRONICS INC. PHILLIPS RESPERONICS BI-PAP; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE

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PHILLIPS RESPIRONICS INC. PHILLIPS RESPERONICS BI-PAP; VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE Back to Search Results
Device Problem Nonstandard Device (1420)
Patient Problems Low Blood Pressure/ Hypotension (1914); Loss of consciousness (2418); Fungal Infection (2419)
Event Date 07/07/2021
Event Type  Injury  
Event Description
I had a bronchoscopy done for pulmonary ariel hypertension at (b)(6) in (b)(6) 2021.The procedure determined that i have a lung fungus infection in my chest.The next morning i was unresponsive and taken to (b)(6).An ultra sound scan was done.It was determined that my blood pressure had bottomed out.Had to be removed from bi-pap due to recall.The prescription i was given is not covered by insurance or in my case an (b)(6).The meds are (b)(6).This fungus has a 80% mortality rate.I need for someone to pay for this medicine because without it, i will die.I was released from the hospital on (b)(6) 2021.
 
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Brand Name
PHILLIPS RESPERONICS BI-PAP
Type of Device
VENTILATOR, CONTINUOUS, MINIMAL VENTILATORY SUPPORT, FACILITY USE
Manufacturer (Section D)
PHILLIPS RESPIRONICS INC.
MDR Report Key12195930
MDR Text Key262641842
Report NumberMW5102626
Device Sequence Number1
Product Code MNT
Combination Product (y/n)Y
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Type of Report Initial
Report Date 07/16/2021
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? No
Device Operator No Information
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received07/19/2021
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Other; Disability;
Patient Age59 YR
Patient Weight95
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