Brand Name | ASTRAL 150 - FUKUDA |
Type of Device | VENTILATOR, CONTINUOUS (FACILITY/HOME) |
Manufacturer (Section D) |
RESMED LTD |
1 elizabeth macarthur drive |
bella vista |
sydney, nsw 2153 |
AS 2153 |
|
Manufacturer (Section G) |
RESMED LTD |
1 elizabeth macarthur drive |
bella vista |
sydney, nsw 2153 |
AS
2153
|
|
Manufacturer Contact |
michelle
hughes
|
1 elizabeth macarthur drive |
bella vista |
sydney, nsw 2153
|
AS
2153
|
|
MDR Report Key | 17056239 |
MDR Text Key | 317092095 |
Report Number | 3004604967-2023-00389 |
Device Sequence Number | 1 |
Product Code |
NOU
|
UDI-Device Identifier | 00619498270934 |
UDI-Public | (01)00619498270934(10)1555462 |
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | K172875 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign |
Reporter Occupation |
505
|
Type of Report
| Initial |
Report Date |
06/02/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Model Number | 27093 |
Device Catalogue Number | 27093 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 05/10/2023 |
Distributor Facility Aware Date | 05/09/2023 |
Initial Date Manufacturer Received |
05/09/2023
|
Initial Date FDA Received | 06/02/2023 |
Date Device Manufactured | 08/15/2021 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
A
|
Patient Sequence Number | 1 |