FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 DBL KIT FRA

MDR report key: 15757387 · Received November 8, 2022

Report

Report Number
3007573469-2022-00738
Event Type
Malfunction
Date Received
November 8, 2022
Date of Event
September 30, 2022
Report Date
December 1, 2022
Manufacturer
RESMED LTD
Product Code
CBK
UDI-DI
00619498270743
Product Problem
Yes
Report Source
Distributor report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE NRV ASSEMBLY WAS REPLACED TO ADDRESS THE ISSUE. THE DEVICE WAS SERVICED AND FULLY TESTED BEFORE IT WAS RETURNED TO THE CUSTOMER. RESMED REFERENCE#: (B)(4).

Additional Manufacturer Narrative · 0

BASED ON ALL AVAILABLE EVIDENCE AND COMPLAINT INVESTIGATIONS OF A SIMILAR NATURE, AN 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

DURING RESMED EVALUATION, AN ASTRAL DEVICE HAD A FAULTY NON-RETURN VALVE (NRV) ASSEMBLY. THERE WAS NO PATIENT HARM OR SERIOUS INJURY REPORTED AS A RESULT OF THIS INCIDENT.

Description of Event or Problem · 0

DURING RESMED EVALUATION, AN ASTRAL DEVICE HAD A FAULTY NON-RETURN VALVE (NRV) ASSEMBLY. 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
2949197 ASTRAL 150 DBL KIT FRA Ventilator, continuous, facility use CBK RESMED LTD 27074 00619498270743

Patients

Seq Age Sex Outcome Treatment
1 Unknown