FDA Adverse Event Death Summary report: N

ASTRAL 150 - AMER

MDR report key: 11843447 · Received May 18, 2021

Report

Report Number
3007573469-2021-00612
Event Type
Death
Date Received
May 18, 2021
Date of Event
April 19, 2021
Report Date
May 18, 2021
Manufacturer
RESMED LTD
Product Code
CBK
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

RESMED HAS REQUESTED FOR THE DEVICE TO BE RETURNED SO THAT AN ENGINEERING INVESTIGATION COULD BE PERFORMED. THE DEVICE HAS NOT BEEN RETURNED, THEREFORE RESMED IS UNABLE TO CONFIRM THE ALLEGED MALFUNCTION AT THIS TIME. RESMED REFERENCE#: (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO RESMED THAT A PATIENT USING AN ASTRAL DEVICE DECANNULATED AND THE NURSE WAS UNABLE TO PROVIDE ASSISTANCE WITH THE TRACH. THE PATIENT SUBSEQUENTLY EXPIRED. NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE TO RESMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
737229 ASTRAL 150 - AMER CBK RESMED LTD 27003

Patients

Seq Age Sex Outcome Treatment
1 Death