FDA Adverse Event
Malfunction
Summary report: N
ASTRAL 150 DBL KIT FRA
MDR report key: 18340585
·
Received December 15, 2023
Report
- Report Number
- 3004604967-2023-00685
- Event Type
- Malfunction
- Date Received
- December 15, 2023
- Date of Event
- September 25, 2023
- Report Date
- December 15, 2023
- Manufacturer
- RESMED CORP
- Product Code
- NOU
- PMA / PMN Number
- K172875
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE WAS RECEIVED BY RESMED AND AN EVALUATION CONFIRMED THE REPORTED COMPLAINT. VISUAL INSPECTION OF THE THERMISTOR CABLE REVEALED PHYSICAL DAMAGE. DEVICE WAS SCRAPPED DUE TO CUSTOMER DECLINED REPAIR. BASED ON ALL AVAILABLE EVIDENCE AND COMPLAINT INVESTIGATIONS OF A SIMILAR NATURE, AN INVESTIGATION DETERMINED THAT THE REPORTED COMPLAINT WAS DUE TO PHYSICAL DAMAGE OF THE THERMISTOR CABLE. 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 (SF116) RELATED TO AMBIENT TEMPERATURE MEASUREMENT. 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 |
|---|---|---|---|---|---|---|---|
| 1041735 | ASTRAL 150 DBL KIT FRA | VENTILATOR, CONTINUOUS (FACILITY/HOME) | NOU | RESMED CORP | 27074 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |