FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 - AMER

MDR report key: 18089071 · Received November 7, 2023

Report

Report Number
3007573469-2023-00627
Event Type
Malfunction
Date Received
November 7, 2023
Date of Event
October 10, 2023
Report Date
November 7, 2023
Manufacturer
RESMED LTD
Product Code
NOU
UDI-DI
00619498270033
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ASTRAL DEVICE WAS RETURNED TO RESMED. EVALUATION CONFIRMED THE DEVICE DISPLAYED AN ERROR MESSAGE (SF179) RELATED TO THE MAIN CIRCUIT BOARD. VISUAL INSPECTION OF THE MAIN CIRCUIT BOARD REVEALED A LEAKY SUPER CAPACITOR. THE MAIN CIRCUIT BOARD WAS REPLACED TO ADDRESS THE REPORTED COMPLAINT. THE DEVICE WAS SERVICED AND TESTED BEFORE IT WAS RETURNED TO THE CUSTOMER. BASED ON ALL AVAILABLE EVIDENCE AND COMPLAINT INVESTIGATIONS OF A SIMILAR NATURE, AN INVESTIGATION DETERMINED THAT THE REPORTED COMPLAINT WAS DUE TO SUPER CAPACITOR ELECTROLYTE LEAK. RESMED'S RISK ANALYSIS FOR THIS FAILURE MODE CONCLUDES THAT THE RISK IS ACCEPTABLE. RESMED REFERENCE#: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED TO RESMED THAT AN ASTRAL DEVICE DISPLAYED AN ERROR MESSAGE (SYSTEM FAULT). THE DEVICE WAS NOT IN PATIENT USE WHEN THE REPORTED EVENT OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
812882 ASTRAL 150 - AMER VENTILATOR, CONTINUOUS (FACILITY/HOME) NOU RESMED LTD 27003 00619498270033

Patients

Seq Age Sex Outcome Treatment
1 Unknown