ASTRAL 150 DBL KIT FRA 27074

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-14 for ASTRAL 150 DBL KIT FRA 27074 manufactured by Resmed Ltd.

Event Text Entries

[177857428] The device was returned to resmed and an evaluation confirmed the complaint. The main circuit board was replaced to address this issue. The device was serviced and fully tested before it was returned to the customer. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[177857429] It was reported to resmed that an astral device failed to complete its internal self-test. There was no patient harm or serious injury reported as a result of this incident.
Patient Sequence No: 1, Text Type: D, B5


[188783920] The device was returned to resmed and an evaluation confirmed the complaint. Visual inspection of the main circuit board revealed a super capacitor leak. The main circuit board was replaced to address this issue. The device was serviced and fully tested before it was returned to the customer. Resmed's risk analysis for this failure mode concludes that the risk is acceptable. Resmed reference #: (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[188783921] It was reported to resmed that an astral device failed to complete its internal self-test. There was no patient harm or serious injury reported as a result of this incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007573469-2020-00180
MDR Report Key9589540
Date Received2020-01-14
Date of Report2020-01-14
Date Facility Aware2019-12-20
Report Date2020-01-14
Date Reported to FDA2020-01-14
Date Reported to Mfgr2020-01-14
Date Mfgr Received2019-12-20
Date Added to Maude2020-01-14
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameASTRAL 150 DBL KIT FRA
Product CodeNOU
Date Received2020-01-14
Returned To Mfg2019-12-11
Model Number27074
Catalog Number27074
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Age19 MO
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerRESMED LTD
Manufacturer Address1 ELIZABETH MACARTHUR DRIVE. BELLA VISTA SYDNEY, NSW 2153 AU 2153


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-14

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