FDA Adverse Event
Malfunction
Summary report: N
REP DREAMSTATION AVAPS30
MDR report key: 23953570
·
Received January 3, 2026
Report
- Report Number
- 2518422-2026-000254
- Event Type
- Malfunction
- Date Received
- January 3, 2026
- Date of Event
- December 21, 2025
- Report Date
- May 27, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- MNS
- UDI-DI
- 00606959063457
- PMA / PMN Number
- K102465
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE MANUFACTURER RECEIVED INFORMATION ALLEGING MELTING OF THE POWER PORT ON A DREAMSTATION AVAPS30. THERE WAS NO REPORT OF SERIOUS PATIENT HARM OR INJURY. NO MEDICAL INTERVENTION WAS SPECIFIED BY THE PATIENT. THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. IF ANY ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP REPORT WILL BE FILED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 41845 | REP DREAMSTATION AVAPS30 | VENTILATOR, CONTINUOUS, NON-LIFE-SUPPORTING | MNS | RESPIRONICS, INC. | DSX1130S11F | 00606959063457 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |