FDA Adverse Event Malfunction Summary report: N

REMSTAR AUTO A-FLE

MDR report key: 23615199 · Received November 21, 2025

Report

Report Number
2518422-2025-054604
Event Type
Malfunction
Date Received
November 21, 2025
Date of Event
March 22, 2024
Report Date
November 21, 2025
Manufacturer
RESPIRONICS, INC.
Product Code
BZD
UDI-DI
00606959005013
PMA / PMN Number
K091319
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 CENTRE 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, SECONDARY FINDINGS DUST WAS OBSERVED. THE DEVICE POWERED ON AND AIRFLOW WAS CONFIRMED. THE DEVICE'S DOWNLOADED LOGS WERE REVIEWED BY THE THIRD-PARTY SERVICE CENTRE. THERE WERE 7 ERROR CODES FOUND. THE THIRD-PARTY SERVICE CENTRE CONCLUDES THAT THEY COULD CONFIRM THE CUSTOMER'S ALLEGATION THERE WAS VISIBLE FOAM DEGRADATION AND UNIT WAS CORRECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2559309 REMSTAR AUTO A-FLE VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZD RESPIRONICS, INC. DS550S 00606959005013

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown