RESPIRONICS 1009040

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-05-15 for RESPIRONICS 1009040 manufactured by .

Event Text Entries

[838482] Vendor of equipment was telling various info about the respironics comfortgel mask regarding mfr's defects - clips that hold strap constantly fail and make mask unusable. The vendor reluctantly replaced the defective mask. We were also told that it would not be covered by insurance and later told, it would be after the defect was known. The vendor apria healthcare is not responding correctly to a 'known' defect and several reps from apria later denied there was a problem with the mask. After research on the fda site, we found that respironics has had some problems related to this mask in the past this seems to be a new problem and is not being caught by the plant that makes them in another country, or the receiving qc dept. That handles incoming products. While this is not a life threatening situation, there seems to be a possibility that qc is not following design and material requirements given by the fda for such medical equipment. Diagnosis or reason for use: sleep apnea.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5006932
MDR Report Key1047190
Date Received2008-05-15
Date of Report2008-05-15
Date of Event2008-05-15
Date Added to Maude2008-05-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameRESPIRONICS
Generic NameCOMFORTGEL MASK
Product CodeNMC
Date Received2008-05-15
Model Number1009040
Lot NumberAP.071017
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1016076
Manufacturer Address1001 MURRAY RIDGE LANE MURRYSVILLE PA 15668 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-05-15

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