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