FDA Adverse Event Malfunction Summary report: N

REMSTAR AUTO A-FLEX

MDR report key: 24189049 · Received January 27, 2026

Report

Report Number
2518422-2026-003303
Event Type
Malfunction
Date Received
January 27, 2026
Date of Event
January 22, 2026
Report Date
January 27, 2026
Manufacturer
RESPIRONICS, INC.
Product Code
BZS
UDI-DI
00606959012790
PMA / PMN Number
K091319
Removal / Correction Number
Z-1974-2021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

A REMSTAR AUTOA-FLEX DEVICE WAS RETURNED TO A THIRD-PARTY SERVICE CENTER 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 BLOWER FOAM DEGRADATION WAS FOUND. ADDITIONALLY, THE EVALUATION OF THE DEVICE DATA IDENTIFIED UNRELATED ERROR CODES. THESE ERROR CODES ARE CONSISTENT WITH NORMAL DEVICE OPERATION AND EXPECTED USE CONDITIONS AND ARE NOT CONSIDERED REPORTABLE UNDER MEDICAL DEVICE REPORTING REQUIREMENTS. NO EVIDENCE WAS IDENTIFIED TO SUGGEST THAT THESE ERROR CODES CONTRIBUTED TO OR CAUSED THE REPORTED EVENT. THE DEVICE WAS SCRAPPED BY THE SERVICE CENTER AFTER THE EVALUATION WAS COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
252369 REMSTAR AUTO A-FLEX VENTILATOR, NON-CONTINUOUS (RESPIRATOR) BZS RESPIRONICS, INC. DS250S 00606959012790

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown