FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 DBL KIT FRA

MDR report key: 11635502 · Received April 8, 2021

Report

Report Number
3004604967-2021-00487
Event Type
Malfunction
Date Received
April 8, 2021
Date of Event
March 2, 2021
Report Date
May 7, 2021
Manufacturer
RESMED LTD
Product Code
CBK
PMA / PMN Number
K152068
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE ASTRAL DEVICE WAS RETURNED TO RESMED FOR AN INVESTIGATION. REVIEW OF THE DEVICE DATA LOGS CONFIRMED THE REPORTED INTERNAL BATTERY DEGRADED WARNING ALARM. THE INTERNAL BATTERY WAS REPLACED TO ADDRESS ISSUE. THE MAIN CIRCUIT BOARD WAS REPLACED AS A PRECAUTION TO ADDRESS THE LEAKY SUPER CAPACITOR. BASED ON ALL AVAILABLE EVIDENCE AND COMPLAINT INVESTIGATIONS OF A SIMILAR NATURE, THE INVESTIGATION DETERMINED THAT THE INTERNAL BATTERY DEGRADED WARNING ALARM WAS DUE TO THE BATTERY CONTROLLER SOFTWARE. RESMED'S RISK ANALYSIS FOR THIS FAILURE MODE CONCLUDES THAT THE RISK IS ACCEPTABLE. RESMED REFERENCE#: PR 2250900.

Description of Event or Problem · 0

IT WAS REPORTED TO RESMED THAT AN ASTRAL DEVICE MAIN CIRCUIT BOARD HAD A LEAKY SUPER CAPACITOR AND DISPLAYED AN INTERNAL BATTERY DEGRADED WARNING ALARM. THE DEVICE WAS NOT IN PATIENT USE WHEN THE REPORTED EVENT OCCURRED.

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO RESMED AND AN EVALUATION CONFIRMED THE COMPLAINT. THE MAIN CIRCUIT BOARD WAS REPLACED TO ADDRESS THE ISSUE. THE DEVICE WILL BE SERVICED AND FULLY TESTED BEFORE RETURNING TO THE CUSTOMER. RESMED REFERENCE#: (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO RESMED THAT AN ASTRAL DEVICE MAIN CIRCUIT BOARD HAD A LEAKY SUPER CAPACITOR. THE DEVICE WAS NOT IN PATIENT USE WHEN THE REPORTED EVENT OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
530595 ASTRAL 150 DBL KIT FRA CBK RESMED LTD 27074

Patients

Seq Age Sex Outcome Treatment
1