Contact Join the Philips CPAP Lawsuit Request Free Consultation First Name(Required) Last Name(Required) Phone(Required)Email(Required) State(Required) If you use or have used a recalled Philips CPAP/BiPaP or ventilator device, please identify from the menu below. (Please hold down the "Command" key for multiple selections)(Required)E30 (Emergency Use Authorization)DreamStation ASVDreamStation ST, AVAPSSystemOne ASV4C-Series ASVC-Series S/T and AVAPSOmniLab Advanced+Noncontinuous VentilatorSystemOne (Q-Series)DreamStationDreamStation GoDorma 400Dorma 500REMstar SE AutoTrilogy 100 (Ventilator)Trilogy 200 (Ventilator)Garbin Plus, Aeris, LifeVent (Ventilator)A-Series BiPAP Hybrid A30 (Ventilator)A-Series BiPAP V30 Auto (Ventilator)A-Series BiPAP A40 (Ventilator)A-Series BiPAP A30 (Ventilator)What have you done since the recall was announced on June 14, 2021 (i.e., did you return the device? Buy a new machine? Call Philips? Or took no action since?)(Required)Describe your history with the recalled Philips device (When did you start using it? Did you buy it or provided it by insurance? Any problems with using it, notice any problems cleaning it?)(Required)During your time using the recalled Philips device, have you suffered or been diagnosed with any health or medical issues? If so, please select the primary medical injury you have suffered from the list below:(Required)I have not suffered any medical issues.Acute inhalation injuryAutoimmune disordersCancer (any type)Chronic asthmaChronic bronchitisEmphysemaHeadachesHeart failureHypersensitivityInflammation and fluid build-up in the lungsInterstitial lung diseaseKidney diseaseLeukemiaLiver diseaseLung cancerLymphomaPneumoniaPneumoconiosisPulmonary fibrosisRespiratory failureSarcoidosisStrokeAre you currently, or have you ever been, a habitual smoker?(Required)Please Select "Yes" or "No" BelowYesNo