REMSTAR PRO C-FLEX+
Report
- Report Number
- 2518422-2024-52710
- Event Type
- Injury
- Date Received
- August 22, 2024
- Date of Event
- July 29, 2024
- Report Date
- August 25, 2024
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959005839
- PMA / PMN Number
- K131982
- Removal / Correction Number
- Z-1974-2021
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
THE ABOVE MDR & TW REPORT (TW (B)(4) 2518422-2024-52710) IS DONE BY MISTAKE, PLEASE DISREGARD THE ABOVE REPORT. THE CORRECT REPORT WILL BE THE INITIAL FIRST REPORT (TW (B)(4) 2518422-2024-48611). BOX B (DEVICE NAME) IS UPDATED IN THIS REPORT.
THE MANUFACTURER WAS CONTACTED IN REFERENCE TO THE VOLUNTARY FIELD SAFETY NOTICE / RECALL NOTIFICATION RELATED TO THE SOUND ABATEMENT FOAM IN CERTAIN CPAP/ BIPAP, AND MECHANICAL VENTILATOR DEVICES. THE MANUFACTURER RECEIVED INFORMATION ALLEGING NOSE IRRITATION,RESPIRATORY TRACT IRRITATION,DIZZINESS,ASTHMA,INFLAMMATORY RESPONSE,LUNG DISEASE. NO OTHER CLINICAL INFORMATION OR MEDICAL INTERVENTIONS WERE REPORTED. THE MANUFACTURER'S INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 940993 | REMSTAR PRO C-FLEX+ | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DS460HS | 00606959005839 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |