FDA Adverse Event Malfunction Summary report: N

REMSTAR AUTO A-FLE

MDR report key: 23602862 · Received November 20, 2025

Report

Report Number
2518422-2025-053713
Event Type
Malfunction
Date Received
November 20, 2025
Date of Event
February 18, 2024
Report Date
November 20, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959024175
PMA / PMN Number
K131982
Removal / Correction Number
Z-1974-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED AS PART OF A BATCH SUBMISSION OF COMPLAINTS DEEMED REPORTABLE FOLLOWING RECORD CORRECTION AND REMEDIATION EFFORTS.

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 CENTRE, THE DEVICE WAS VISUALLY INSPECTED AND FOUND EVIDENCE OF FOAM DEGRADATION. DURING THE EVALUATION, DUST CONTAMINATION WAS OBSERVED. THE DEVICE POWERED ON AND AIRFLOW WAS CONFIRMED. THE DEVICE'S DOWNLOADED LOGS WERE REVIEWED BY THE THIRD-PARTY SERVICE CENTRE. THERE WAS ZERO ERRORS CODE FOUND. THE THIRD-PARTY SERVICE CENTER CONCLUDES THAT THERE WAS VISIBLE FOAM DEGRADATION AND UNIT GOT CORRECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2661306 REMSTAR AUTO A-FLE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DS560BT 00606959024175

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown