FDA Adverse Event Malfunction Summary report: N

REMSTAR AUTO A-FLEX

MDR report key: 23544175 · Received November 13, 2025

Report

Report Number
2518422-2025-111791
Event Type
Malfunction
Date Received
November 13, 2025
Date of Event
November 14, 2025
Report Date
November 24, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
PMA / PMN Number
K091319
Removal / Correction Number
Z-1974-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER PREVIOUSLY REPORTED ON THIS DEVICE IN MDR 2518422-2025-111791. THIS REPORT WAS SUBMITTED AS A CORRECTION REPORT OF THE PREVIOUSLY SUBMITTED REPORT. THE REPORTER COUNTRY HAS BEEN UPDATED TO FRANCE.

Description of Event or Problem · 0

THIS NOTIFICATION WAS OPENED FOR REVIEW FOR INFORMATION RECEIVED THAT THE REMSTAR AUTO A-FLEX WAS RETURNED TO A THIRD-PARTY SERVICE CENTER IN REFERENCE TO THE VOLUNTARY FIELD SAFETY NOTICE / RECALL NOTIFICATION RELATED TO THE SOUND ABATEMENT FOAM PARTICLES INSIDE THE ASSEMBLY. DURING THE EVALUATION OF THE DEVICE AT THE THIRD-PARTY SERVICE CENTER, THE DEVICE WAS VISUALLY INSPECTED AND EVIDENCE OF VISIBLE FOAM PARTICLES INSIDE THE ASSEMBLY WAS FOUND. IN ADDITION, THE DEVICE HAD DUST/DIRT CONTAMINATION AND DISPLAYED ERROR CODES E065 (ERR_STUCK_ENCODER_A) AND E066 (ERR_STUCK_ENCODER_B). LASTLY, THE DEVICE WAS SCRAPPED AS PER CUSTOMER REQUEST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2119276 REMSTAR AUTO A-FLEX VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. 551P

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown