FDA Adverse Event Death Summary report: N

ASTRAL 100 - EUR4

MDR report key: 14402863 · Received May 14, 2022

Report

Report Number
3004604967-2022-00341
Event Type
Death
Date Received
May 14, 2022
Report Date
July 1, 2022
Manufacturer
RESMED LTD
Product Code
CBK
PMA / PMN Number
K172875
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

BASED ON ADDITIONAL INFORMATION RECEIVED, THIS IS A DUPLICATE OF (B)(4). ENGINEERING INVESTIGATION FINDINGS FOR THE REPORTED EVENT WERE SUBMITTED IN REPORT NUMBER 3004604967-2021-00935/3007573469-2021-00935 ASSOCIATED WITH (B)(4). RESMED REFERENCE #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED TO RESMED THAT A PATIENT USING AN ASTRAL DEVICE PASSED AWAY. NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE TO RESMED.

Description of Event or Problem · 0

IT WAS REPORTED TO RESMED THAT A PATIENT USING AN ASTRAL DEVICE PASSED AWAY. NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE TO RESMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1475635 ASTRAL 100 - EUR4 CBK RESMED LTD 27061

Patients

Seq Age Sex Outcome Treatment
1 Male Death