FDA Adverse Event Injury Summary report: N

STELLAR 100 - UK

MDR report key: 3784359 · Received April 24, 2014

Report

Report Number
3004604967-2014-00012
Event Type
Injury
Date Received
April 24, 2014
Manufacturer
RESMED GERMANY INC
Product Code
MNT
PMA / PMN Number
K122715
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INVESTIGATION METHODS, RESULTS AND CONCLUSIONS ARE NOT FINALIZED AT THIS STAGE. FROM THE STELLAR USER GUIDE. INDICATION FOR USE: THE STELLAR 100/150 IS INTENDED TO PROVIDE VENTILATION FOR NON-DEPENDENT, SPONTANEOUSLY BREATHING ADULT AND PEDIATRIC PTS (30 LB/13 KG AND ABOVE) WITH RESPIRATORY INSUFFICIENCY, OR RESPIRATORY FAILURE, WITH OR WITHOUT OBSTRUCTIVE SLEEP APNEA. CONTRAINDICATION: THE STELLAR IS CONTRAINDICATED IN PTS WHO ARE UNABLE TO ENDURE MORE THAN BRIEF INTERRUPTIONS IN VENTILATION. THE STELLAR IS NOT A LIFE SUPPORT VENTILATOR. AS INDICATED BY THE REPORTER, THE DEVICE WAS USED FOR A VENTILATOR-DEPENDENT PT WHILE INTENDED USE IS LIMITED TO NON-DEPENDENT PTS. THERE WERE TWO SEPARATE INCIDENTS THAT OCCURRED WITH THE SAME PT. THE FIRST INCIDENT OCCURRED IN (B)(6) 2013 WHICH IS REPORTED IN THIS MEDWATCH. THE SECOND INCIDENT OCCURRED IN (B)(6) 2014 AND WAS REPORTED TO THE FDA IN MEDWATCH 3004604967-2014-00007.

Description of Event or Problem · 1

REFERENCE IMP# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
248854 STELLAR 100 - UK MNT RESMED GERMANY INC

Patients

Seq Age Sex Outcome Treatment
1