FDA Adverse Event
Malfunction
Summary report: N
S8 ELITE - AMERICAS
MDR report key: 1901561
·
Received November 10, 2010
Report
- Report Number
- 3004604967-2010-00040
- Event Type
- Malfunction
- Date Received
- November 10, 2010
- Date of Event
- October 1, 2010
- Report Date
- November 10, 2010
- Manufacturer
- RESMED LTD.
- Product Code
- BZD
- PMA / PMN Number
- K041209
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ENGINEERING EVAL OF THE RETURNED UNIT IDENTIFIED THE ROOT CAUSE OF THE FAILURE AS CRACKING OF THE AC CONNECTOR SOLDER JOINT. THE RESULT OF THIS FAILURE WAS A BRIEF EXTERNAL FLAME THAT SELF-ARRESTED AND DID NOT REQUIRE EXTERNAL INTERVENTION. THE INCIDENCE AND SEVERITY OF THIS FAILURE TYPE ARE SUBJECTED TO ON-GOING MONITORING. THERE WAS NO ADVERSE EVENT REPORTED FOR THIS INCIDENT.
Description of Event or Problem · 1
A CUSTOMER REPORTED THAT A CPAP UNIT CAUGHT ON FIRE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | S8 ELITE - AMERICAS | BZD | RESMED LTD. | 33021 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |