DREAMSTATION AUTO CPAP DSX500T11W

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,health profession report with the FDA on 2020-02-17 for DREAMSTATION AUTO CPAP DSX500T11W manufactured by Respironics, Inc..

Event Text Entries

[179705876] The manufacturer became aware of an allegation of a thermal event occurring to the dc power supply and the dc power input of the continuous positive airway pressure (cpap) device. There was no patient harm or injury. The manufacturer received the cpap and associated humidifier for investigation. There was evidence of thermal damage to the dc output connector on the power supply and the dc power input connector of the cpap due to water ingress to the device which caused rust and corrosion to the power connectors. The finding of water ingress to the dreamstation assembly indicates the units were moved or mishandled while there was still water in the chamber or from water being spilled when filling the chamber and the devices setting in this water. The philips respironics dreamstation systems deliver positive airway pressure therapy for the treatment of obstructive sleep apnea in spontaneously breathing patients weighing over (b)(6). It is for use in the home or hospital/institutional environment. The user is cautioned "contact your health care professional if symptoms of sleep apnea recur. If you notice any unexplained changes in the performance of this device, if it is making unusual or harsh sounds, if it has been dropped or mishandled, if water is spilled into the enclosure, or if the enclosure is broken, disconnect the power cord and discontinue use. Contact your home care provider. " the power supply is designed in accordance to iec 60601 and applicable parts of iec 60950. Voltage in the cpap/humidifier device is limited to 12 v dc nominal, and current is limited by the device fuse, to minimize the potential for electrical fire. The design of the electronics mechanicals are robust enough to resist damage that would result from typical usage. This device meets ul and iec requirements for flammability. There was no patient harm or injury. The manufacturer concludes that no further action is necessary at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2518422-2020-00297
MDR Report Key9717627
Report SourceDISTRIBUTOR,HEALTH PROFESSION
Date Received2020-02-17
Date of Report2020-02-04
Date of Event2020-02-04
Date Mfgr Received2020-02-04
Device Manufacturer Date2018-11-19
Date Added to Maude2020-02-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. ADAM PRICE
Manufacturer Street312 ALVIN DRIVE
Manufacturer CityNEW KENSINGTON, PA
Manufacturer CountryUS
Manufacturer Phone3349303
Manufacturer G1RESPIRONICS, INC.
Manufacturer Street1001 MURRY RIDGE LANE
Manufacturer CityMURRYSVILLE, PA
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDREAMSTATION AUTO CPAP
Generic NameVENTILATOR, NON-CONTINUOUS (RESPIRATOR),
Product CodeBZD
Date Received2020-02-17
Returned To Mfg2020-02-11
Model NumberDSX500T11W
Catalog NumberDSX500T11W
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerRESPIRONICS, INC.
Manufacturer Address1001 MURRY RIDGE LANE MURRYSVILLE, PA US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-17

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