FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 - APAC2

MDR report key: 11090874 · Received December 29, 2020

Report

Report Number
3004604967-2020-01274
Event Type
Malfunction
Date Received
December 29, 2020
Report Date
February 26, 2021
Manufacturer
RESMED LTD
Product Code
CBK
PMA / PMN Number
K152068
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KR
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

THE ASTRAL DEVICE WAS NOT RETURNED TO RESMED. AN INVESTIGATION WAS PERFORMED ON ALL AVAILABLE INFORMATION. BASED ON ALL AVAILABLE EVIDENCE AND COMPLAINT INVESTIGATIONS OF A SIMILAR NATURE, THE INVESTIGATION DETERMINED THAT THE REPORTED COMPLAINT WAS DUE TO A FAULTY/DEFECTIVE NRV. RESMED'S RISK ANALYSIS FOR THIS FAILURE MODE CONCLUDES THAT THE RISK IS ACCEPTABLE. RESMED REFERENCE#: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED TO RESMED THAT AN ASTRAL DEVICE FAILED TO COMPLETE ITS INTERNAL SELF-TEST. THERE WAS NO PATIENT HARM OR SERIOUS INJURY REPORTED AS A RESULT OF THIS INCIDENT.

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO AN AUTHORIZED RESMED THIRD PARTY SERVICE CENTER FOR AN EVALUATION AND SERVICE. THE CUSTOMER WAS ISSUED WITH A REPLACEMENT NON-RETURN VALVE (NRV) ASSEMBLY AS A PART OF A WARRANTY CLAIM. RESMED REFERENCE#: PR 2180922.

Description of Event or Problem · 1

IT WAS REPORTED TO RESMED THAT AN ASTRAL DEVICE FAILED TO COMPLETE ITS INTERNAL SELF-TEST. THERE WAS NO PATIENT HARM OR SERIOUS INJURY REPORTED AS A RESULT OF THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1550585 ASTRAL 150 - APAC2 CBK RESMED LTD 27088 1346853

Patients

Seq Age Sex Outcome Treatment
1