MAUDE Adverse Event Report: RESPIRONICS, INC. REMSTAR PRO C FLEX; VENTILATOR, NON-CONTINUOUS (RESPIRATOR)

Model Number	469P
Medical Device Problem Code	Degraded (1153)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/02/2025
Type of Reportable Event	Malfunction
Event or Problem Description
A remstar pro c flex device was returned to a third-party service center as part of the uno recall process with no initial alleged complaint.There was no death, serious harm or injury were reported, and no medical intervention was provided.During the evaluation of the device, the third-party service center visually inspected the device and evidence of foam degradation was found.In addition, the device displayed multiple occurrences of error code e-53: err_comp_log_sem_timeout as recorded in error log.The device was scrapped by the service center after the evaluation was completed.
Additional Manufacturer Narrative
It was previously noted that a third-party service center evaluated the device, which was incorrect.The device was assessed by a philips service center.This report is being submitted to correct the b5 statement and update related fields.
Event or Problem Description
Correction: a remstar pro c flex device was returned to a philips service center as part of the uno recall process with no initial alleged complaint.There was no death, serious harm or injury were reported, and no medical intervention was provided.During the evaluation of the device, the service center visually inspected the device and evidence of foam degradation was found.In addition, the device displayed multiple occurrences of error code e-53: err_comp_log_sem_timeout as recorded in error log.The device was scrapped by the service center after the evaluation was completed.

• Brand Name: REMSTAR PRO C FLEX
• Common Device Name: VENTILATOR, NON-CONTINUOUS (RESPIRATOR)
• Manufacturer (Section D): RESPIRONICS, INC.; 1001 murry ridge lane; murrysville PA
• Manufacturer (Section G): RESPIRONICS, INC.; 1001 murry ridge lane; murrysville PA
• Manufacturer Contact: melissa rosko ; 1001 murry ridge lane; murrysville, PA ; 7247330200
• MDR Report Key: 23416612
• Report Number: 2518422-2025-111416
• Device Sequence Number: 10300092
• Product Code: BZD
• UDI-Device Identifier: 00606959037885
• UDI-Public: (01)00606959037885
• Combination Product (Y/N): N
• Initial Reporter Country: BR
• PMA/510(K) Number: K131982
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Foreign,Company Representative
• Initial Reporter Occupation: 505
• Remedial Action: Recall
• Type of Report: Initial,Followup
• Report Date (Section B): 10/30/2025

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
• Operator of Device: Other
• Device Model Number: 469P
• Device Catalogue Number: 469P
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/02/2025
• Supplement Date Received by Manufacturer: 10/02/2025
• Initial Report FDA Received Date: 10/29/2025
• Supplement Report FDA Received Date: 10/30/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 11/19/2015
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement: Z-1974-2021
• Patient Sequence Number: 1
• Patient Sex: Unknown