FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 - AMER

MDR report key: 17881072 · Received October 5, 2023

Report

Report Number
3004604967-2023-00557
Event Type
Malfunction
Date Received
October 5, 2023
Date of Event
September 6, 2023
Report Date
October 5, 2023
Manufacturer
RESMED LTD
Product Code
NOU
UDI-DI
00619498270033
PMA / PMN Number
K172875
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

DURING RESMED EVALUATION, AN ASTRAL DEVICE DISPLAYED AN ERROR MESSAGE (SF150) RELATED TO THE ELECTRO-VALVE. 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
2246124 ASTRAL 150 - AMER VENTILATOR, CONTINUOUS (FACILITY/HOME) NOU RESMED LTD 27003 00619498270033

Patients

Seq Age Sex Outcome Treatment
1 Unknown