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U.S. Department of Health and Human Services

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

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PHILIPS / RESPIRONICS, INC. DREAM STATION CPAP; VENTILATOR, NON-CONTINUOUS (RESPIRATOR) Back to Search Results
Device Problems Contamination (1120); Nonstandard Device (1420); Particulates (1451); Patient-Device Incompatibility (2682)
Patient Problems Hypoxia (1918); Pneumonia (2011); Respiratory Tract Infection (2420); Respiratory Failure (2484)
Event Type  Injury  
Event Description
Following an acute respiratory infection, i found out my cpap was on recall.I was instructed to discontinue use as i had used an ozone cleaner which resulted in black deposits on filter.I ended up in intensive care on 8 liters of oxygen and viral pneumonia with acute respiratory failure and hypoxia sent home on oxygen, and now on medication to breathe.Ever since i started using the dream station i began to suffer from recurring respiratory infections, i told my pc that i felt it was the machine that was the culprit, i used an ozone cleaner out of desperation as i thought it might be dirty and was causing me to be sick, i started using the cleaner and was setting a black discharge on my filter which i mistakenly thought was dirt or mold as i have a heated humidifier on the unit.I still was having irritation and started using albuterol to alleviate my symptoms.My last infection was in (b)(6) 2021 that is when i found out about the recall of this machine.Philips told me to stop using it, my infection progressed into acute respiratory failure and hospitalization before i could see my sleep apnea doctor.I now have damage to my respiratory system as well as copd.My machine was one month short of being 5 years old.
 
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Brand Name
DREAM STATION CPAP
Type of Device
VENTILATOR, NON-CONTINUOUS (RESPIRATOR)
Manufacturer (Section D)
PHILIPS / RESPIRONICS, INC.
MDR Report Key12598266
MDR Text Key275894157
Report NumberMW5104472
Device Sequence Number1
Product Code BZD
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 09/29/2021
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received10/07/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Disability;
Patient Age61 YR
Patient Weight61
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