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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: RESPIRONICS, INC. DREAMSTATION BIPAP AUTOSV; VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING

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RESPIRONICS, INC. DREAMSTATION BIPAP AUTOSV; VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING Back to Search Results
Model Number DSX900H11
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/05/2022
Type of Reportable Event Malfunction
Event or Problem Description
The manufacturer received information alleging an issue related to a dreamstation bipap autosv device.The patient has alleged burn marks on bottom of the device.There was no report of harm or injury.No medical intervention was required by the patient.The device was returned to product investigation laboratory (pil) and evaluated.During evaluation pil can confirm potential burn marks on the exterior of the bottom enclosure evidence of sound abatement foam degradation/breakdown was not observed.
 
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Brand Name
DREAMSTATION BIPAP AUTOSV
Common Device Name
VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING
Manufacturer (Section D)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA 15668
Manufacturer (Section G)
RESPIRONICS, INC.
1001 murry ridge lane
murrysville PA 15668
Manufacturer Contact
melissa rosko
1001 murry ridge lane
murrysville, PA 15668
7247330200
MDR Report Key24349647
Report Number2518422-2026-101456
Device Sequence Number4759409
Product Code MNS
UDI-Device Identifier00606959424401
UDI-Public(01)00606959424401
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K090539
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 02/16/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Other
Device Model NumberDSX900H11
Device Catalogue NumberDSX900H11
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/30/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/05/2022
Initial Report FDA Received Date02/16/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/19/2018
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Patient Age72 YR
Patient SexUnknown
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