FDA Adverse Event Malfunction Summary report: N

ASTRAL 150 - APAC

MDR report key: 5002409 · Received August 13, 2015

Report

Report Number
3004604967-2015-00343
Event Type
Malfunction
Date Received
August 13, 2015
Date of Event
July 16, 2015
Report Date
December 16, 2015
Manufacturer
RESMED LTD
Product Code
NOU
PMA / PMN Number
K133868
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURING FACILITY LOCATED IN (B)(4) FOR INVESTIGATION. THE INVESTIGATION WAS UNABLE TO REPLICATE THE FAULT UNDER NORMAL USE CONDITIONS. THE DEVICE PERFORMED TO SPECIFICATIONS IN ALL ASPECTS. THE DEVICE WAS CLEANED, SERVICED, CALIBRATED, AND TESTED BEFORE IT WAS RETURNED TO THE CUSTOMER. RESMED'S RISK ANALYSIS FOR THIS FAILURE MODE CONCLUDES THAT THE RISK IS ACCEPTABLE. (B)(4).

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE RESMED TECHNICAL SERVICE CENTER FOR EVALUATION. THE REPORTED SYSTEM FAULT 101 COULD NOT BE REPRODUCED DURING THE EVALUATION. FURTHER INVESTIGATION DETERMINED THAT THE SYSTEM FAULT 101 WAS MOST LIKELY TRIGGERED DUE TO THE USER INCORRECTLY INSTALLING THE EXPIRATORY ADAPTER, CAUSING A SLIGHT LEAK IN THE CIRCUIT AS WELL AS WATER CONTAMINATION TO THE EXPIRATORY PRESSURE SENSOR INLET. BASED ON ALL AVAILABLE EVIDENCE, IT APPEARS THE USER DISCONNECTED THE CIRCUIT DURING THIS SITUATION, CAUSING THE SYSTEM FAULT 101 TO GENERATE. RESMED'S RISK ANALYSIS FOR THIS FAILURE MODE CONCLUDES THAT THE RISK IS ACCEPTABLE. (B)(4)

Description of Event or Problem · 1

IT WAS REPORTED TO RESMED LTD THAT A SYSTEM FAULT (SF101) WAS OBSERVED ON AN ASTRAL DEVICE INDICATING THAT THE OUTLET PRESSURE MEASUREMENT MAY BE INCORRECT. THERE WAS NO PATIENT INJURY REPORTED AS A RESULT OF THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
534678 ASTRAL 150 - APAC VENTILATOR,CONTINUOUS(FACILITY/HOME) NOU RESMED LTD 27083

Patients

Seq Age Sex Outcome Treatment
1