FDA Adverse Event Malfunction Summary report: N

REMSTAR PRO C-FLEX+

MDR report key: 22508352 · Received July 15, 2025

Report

Report Number
2518422-2025-107486
Event Type
Malfunction
Date Received
July 15, 2025
Date of Event
June 26, 2025
Report Date
January 29, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959014077
PMA / PMN Number
K091319
Removal / Correction Number
Z-1974-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

IN PREVIOUSLY SUBMITTED REPORT, REPORT INFORMATION, OPERATOR OF DEVICE IN BOX D, OCCUPATION IN BOX E WAS INCORRECT. IN THIS REPORT, SECTION REPORT INFORMATION, OPERATOR OF DEVICE IN BOX D, OCCUPATION IN BOX E HAS BEEN UPDATED/CORRECTED.

Description of Event or Problem · 0

A DEVICE WAS RETURNED TO A THIRD-PARTY SERVICE CENTER IN REFERENCE TO THE VOLUNTARY FIELD SAFETY NOTICE / RECALL NOTIFICATION RELATED TO THE SOUND ABATEMENT FOAM IN CERTAIN CPAP, BIPAP, AND MECHANICAL VENTILATOR DEVICES. DURING THE EVALUATION OF THE DEVICE AT THE THIRD-PARTY SERVICE CENTER, THE DEVICE WAS VISUALLY INSPECTED/SCRAPPED AND FOUND EVIDENCE OF FOAM DEGRADATION. DURING THE EVALUATION, CONTAMINATION OF FOAM PARTICLES FOUND INSIDE THE BLOWER KIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1740580 REMSTAR PRO C-FLEX+ VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. CA451HS 00606959014077

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown