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 |