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 |