FDA Adverse Event
Malfunction
Summary report: N
REMSTAR AUTO A-FLEX
MDR report key: 24038284
·
Received January 12, 2026
Report
- Report Number
- 2518422-2026-001675
- Event Type
- Malfunction
- Date Received
- January 12, 2026
- Date of Event
- January 6, 2026
- Report Date
- January 12, 2026
- Manufacturer
- RESPIRONICS, INC.
- Product Code
- BZD
- UDI-DI
- 00606959005006
- PMA / PMN Number
- K091319
- Removal / Correction Number
- Z-1974-2021
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- 505
Narratives
Description of Event or Problem · 0
A REMSTAR AUTO A-FLEX 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, THE SERVICE TECHNICIAN OBSERVED VISIBLE FOAM PARTICLES INSIDE THE BLOWER KIT. ADDITIONALLY, THE SERVICE TECHNICIAN ALSO FOUND DUST FAIL CONTAMINATION AND ERROR CODES E061 (PLL UNLOCK) AND E066 (STUCK ENCODER B). THE DEVICE WAS SCRAPPED BY THE SERVICE CENTER AFTER THE EVALUATION WAS COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 100502 | REMSTAR AUTO A-FLEX | VENTILATOR, NON-CONTINUOUS (RESPIRATOR) | BZD | RESPIRONICS, INC. | DS550HS | 00606959005006 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |