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 |