CPAP CPAP OS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-06-28 for CPAP CPAP OS manufactured by Emergent Respiratory Products, Llc.

Event Text Entries

[3632723] Ems responders identified pt with shortness of breath, possible due to copd/pneumonia. Pt reportedly appeared by her distress level to benefit from cpap. Cpap failed to hold pressure. Pt was transported to emergency department, respiratory distress and hypotension identified and pt admitted to intensive care unit for f/u care.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5030766
MDR Report Key3209251
Date Received2013-06-28
Date of Report2013-06-28
Date of Event2013-06-24
Date Added to Maude2013-07-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCPAP
Generic NameCPAP
Product CodeNHJ
Date Received2013-06-28
Model NumberCPAP OS
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerEMERGENT RESPIRATORY PRODUCTS, LLC
Manufacturer AddressCA US


Patients

Patient NumberTreatmentOutcomeDate
10 2013-06-28

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