Difference between revisions of "Philips Respironics Recall 2021"

Revision as of 17:31, 19 July 2021

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URGENT: Medical Device Recall

Philips-Respironics CPAP and Bi-Level PAP Devices

Sound Abatement Foam - Susceptibility to Degradation and Volatile Organic Compound Emission

Immediate Actions

Immediate Actions to be taken by the User (per Phillips-Respironics):

1. Discontinue use of your device and work with your physician or Durable Medical Equipment (DME) provider to determine the most appropriate options for continued treatment. To continue use of your device due to lack of alternatives, consult with your physician to determine if the benefit of continuing therapy with your device outweighs the risks identified in this letter.
2. Register your device on the recall website www.philips.com/src-updates
   1. The website provides you current information on the status of the recall and how to receive permanent corrective action to address the two (2) issues.
   2. The website also provides you instructions on how to locate your device Serial Number and will guide you through the registration process.
   3. Call 1-877-907-7508 if you cannot visit the website or do not have internet access.

Additional Actions

1. Purchase an in-line antibacterial filter (search for "antibacterial filter for cpap" on Amazon or another site) to catch any and all foam particles. Note that this will do nothing for the off-gassing.
2. Purchase a new non-affected CPAP that is the equivalent or upgrade of your current machine. It appears that at least some insurance companies are allowing replacement prior to the 5-year lifetime. We suggest patients call and ask, as they likely will need a prescription and possibly a justification (the Do NOT use Recall) note from your doctor.
3. Philips is recommending that customers and patients do not use ozone-related cleaning products.
4. For questions please ask on the Apnea Board forum.

What others are doing

• using an in-line antibacterial filter as a stopgap fix
• purchasing, out of pocket, a competing product, often a ResMed device
• registering with Philips-Respironics Recall list
• calling their Doctor, DME, and insurance company to evaluate options
• some patients are attempting to 'de-foam' their DreamStation products (there have been reported failures and successes)

Wiki Editor comments

Most likely a patient's apnea is severe enough that they would require continued treatment. An immediate response from Philips-Respironics in the form of a new machine or an immediate repair or replacement of the foam is not expected; therefore patients should take action to correct the situation.

Potential Replacement Devices

Timeline

April 26, 2021 - potential health risks

https://www.usa.philips.com/healthcare/e/sleep/communications/src-update

Philips advised of potential health risks related to sound abatement foam used in specific Philips Continuous Positive Airway Pressure (CPAP), Bi-Level Positive Airway Pressure (BiLevel PAP) devices, and Mechanical Ventilators.

Possible health risks include exposure to degraded sound abatement foam, for example caused by unapproved cleaning methods such as ozone, and exposure to chemical emissions from the foam material. High heat and high humidity environments may also contribute to foam degradation in certain regions.

June 14, 2021 - Recall

https://www.apneaboard.com/PR-Recall.pdf

As a result of extensive ongoing analysis following this announcement, on June 14, 2021, the company issued a recall notification (U.S. only) / field safety notice (Outside of U.S.) for specific affected devices.

June 23, 2021 - Health Canada posted a recall for the same products.

https://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2021/75887r-eng.php
https://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2021/75889r-eng.php

June 30, 2021 - FDA Safety Communication

Certain Philips Respironics Ventilators, BiPAP, and CPAP Machines Recalled Due to Potential Health Risks: FDA Safety Communication

https://www.fda.gov/medical-devices/safety-communications/certain-philips-respironics-ventilators-bipap-and-cpap-machines-recalled-due-potential-health-risks

July 9, 2021 - Canadian Response

From CTV news (in Canada): In July, the Canadian Thoracic Society, Canadian Sleep Society and the Canadian Society of Respiratory Therapists released a joint statement on the recall to help guide physicians, where they noted that “globally, the number of units affected is in the millions.” The included link is https://cts-sct.ca/wp-content/uploads/2021/07/CTS_CSS_CSRT-Phillips-Recall-Statement_final-07_09_2021.pdf

In brief, after discussion with their doctor, most patients should continue using the machine until it can be replaced with an unaffected machine, preferably sooner than later.

July 14, 2021 - ResMed Response

https://www.resmed.com/en-us/other-manufacturer-recall-2021/
Information regarding Philips' recall

A message from ResMed's CEO:

At ResMed, the leading global manufacturer in sleep apnea therapy, we know that ongoing treatment is critical to the health and wellbeing of many millions of people around the world. In light of Philips’ recent recall and field safety notices for many of its sleep and respiratory care products, I want to reassure our patients, providers, physicians, and communities that ResMed devices are safe to use and are not subject to Philips’ recall. ResMed devices use a different material than what Philips uses in their recalled machines. Patient safety is always our ResMed team’s top priority.

We rigorously test our devices against applicable standards before we launch a new product. We reevaluate our testing when other device makers raise concerns. The information we’ve reviewed from Philips’ recall of its devices and our detailed analysis of our products’ test results confirm that ResMed devices are safe to use.

At this time of considerable increase in demand for ResMed products, we are doing everything we can to increase our manufacturing of sleep and respiratory care devices, so we can get them to the patients who need them most. We will continue working closely and communicating directly with our customers and suppliers to help serve patients worldwide.

Mick Farrell

CEO, ResMed

Health Issues

(As reported by Philips-Respironics)

These issues (degrading foam and/or off-gassing) can result in:

• serious injury which can be life-threatening,
• cause permanent impairment,
• and/or require medical intervention to preclude permanent impairment.

To date, Philips-Respironics has received several complaints regarding the presence of black debris/particles within the airpath circuit(extending from the device outlet, humidifier, tubing, and mask).

Philips also has received reports of:

• headache,
• upper airway irritation,
• cough,
• chest pressure and
• sinus infection.

The potential risks of particulate exposure include:

• Irritation (skin, eye, and respiratory tract),
• inflammatory response,
• headache,
• asthma,
• adverse effects to other organs (e.g. kidneys and liver) and
• toxic carcinogenic affects.

The potential risks of chemical exposure due to off-gassing include:

• headache/dizziness,
• irritation (eyes, nose, respiratory tract, skin),
• hypersensitivity,
• nausea/vomiting,
• toxic and carcinogenic effects.

There have been no reports of death as a result of these issues.

Impacted Devices

Unaffected Products

What products are not affected and why?

Products that are not affected may have different sound abatement foam materials, as new materials and technologies are available over time. Also, sound abatement foam in unaffected devices may be placed in a different location due to device design.

Products not affected by this recall notification (U.S. only) / field safety notice (International Markets) include:

• Trilogy Evo
• Trilogy Evo OBM
• Trilogy EV300
• Trilogy 202
• A-Series Pro and EFL
• M-Series
• DreamStation 2
• Omnilab (original based on Harmony 2)
• Dorma 100, Dorma 200, & REMStar SE
• V60 Ventilator
• V60 Plus Ventilator
• V680 Ventilator
• All oxygen concentrators, respiratory drug delivery products, airway clearance products.

Successful Replacements

Medicare/Medicaid

• Medicare.gov Live Chat - Live Chat with Medicare Agent (7/6/2021) "Yes you can get a replacement, as long as your supplier knows that the one you have is on recall."
• United Healthcare - Medicare Advantage PPO policy (7/14/2021). (Call, Confirm, 3-way with DME). Status Awaiting ResMed restock.

Out of Pocket

• Many out-of-pocket purchases of non-Philips-Respironics machines.

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