FDA Adverse Event
Malfunction
Summary report: N
REMSTAR AUTO
MDR report key: 23966983
·
Received January 5, 2026
Report
- Report Number
- 2518422-2026-000393
- Event Type
- Malfunction
- Date Received
- January 5, 2026
- Date of Event
- December 28, 2025
- Report Date
- March 12, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959005907
- PMA / PMN Number
- K131982
- Removal / Correction Number
- Z-1974-2021
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
IN THE PREVIOUS REPORT, THE COMPLETE STATUS ON THE GENERAL INFORMATION TAB AND THE REPORT SOURCE IN BOX G WERE ENTERED INCORRECTLY, AND IN THIS REPORT BOTH FIELDS HAVE BEEN CORRECTED.
Description of Event or Problem · 0
A REMSTAR AUTO DEVICE WAS RETURNED TO A THIRD-PARTY SERVICE CENTER AS PART OF THE UNO RECALL PROCESS WITH NO INITIAL ALLEGED COMPLAINT. DURING THE EVALUATION OF THE DEVICE AT THE THIRD-PARTY SERVICE CENTER, THE DEVICE WAS VISUALLY INSPECTED, AND EVIDENCE OF FOAM DEGRADATION/PARTICLES WAS FOUND INSIDE THE BLOWER KIT. ADDITIONALLY, THE DEVICE HAD DUST FAIL CONTAMINATION AND DISPLAYED ERROR CODE E041 (ERR STORAGE UNIT NVRAM) AND E057 (ERR SESS OBS QUEUE OVF). THE DEVICE WAS SCRAPPED BY THE SERVICE CENTER AFTER THE EVALUATION WAS COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 335763 | REMSTAR AUTO | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DS560TS | 00606959005907 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |