FDA Adverse Event Malfunction Summary report: N

REMSTAR AUTO A-FLEX

MDR report key: 21262213 · Received January 29, 2025

Report

Report Number
2518422-2025-009089
Event Type
Malfunction
Date Received
January 29, 2025
Date of Event
December 17, 2024
Report Date
January 9, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959005884
PMA / PMN Number
K131982
Removal / Correction Number
Z-1974-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER PREVIOUSLY REPORTED ON THIS DEVICE IN MDR 2518422-2025-100377. THIS REPORT WAS SUBMITTED AS A DUPLICATE REPORT OF THE PREVIOUSLY SUBMITTED REPORT. CONSIDER THIS CASE AS A DUPLICATE OF MDR 2518422-2025-100377.

Description of Event or Problem · 0

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 VISUALIZATION OF PARTICLES. THERE WAS NO REPORT OF MEDICAL INTERVENTION. 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
1791535 REMSTAR AUTO A-FLEX VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DS560S 00606959005884

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown