FDA Adverse Event Malfunction Summary report: N

TEC 6 NAD VARIANT

MDR report key: 1213194 · Received October 21, 2008

Report

Report Number
2112667-2008-00043
Event Type
Malfunction
Date Received
October 21, 2008
Date of Event
May 9, 2008
Report Date
October 21, 2008
Manufacturer
DATEX-OHMEDA
Product Code
CAD
PMA / PMN Number
K925580
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTED, THEY FELT THE OUTPUT OF THE VAPORIZER WAS NOT ACCURATE. THERE WAS NO REPORT OF PATIENT INVOLVEMENT. INVESTIGATION/CONCLUSION: THE UNIT WAS RETURNED TO THE MANUFACTURING SITE FOR INVESTIGATION. THE UNIT WAS TESTED AND THE REPORTED COMPLAINT WAS CONFIRMED. THE INVESTIGATION HAS CONCLUDED THAT THE CAUSE OF THE REPORTED COMPLAINT WAS DUE TO SCRATCHING AND/OR FLATNESS ISSUES RELATED TO THE SEALING FACE OF THE ROTARY VALVE. CHANGES IN MANUFACTURING PROCESSES HAVE GREATLY REDUCED THESE ISSUES. CHANGES WERE IMPLEMENTED INTO THE MANUFACTURING, REFURBISHING AND SERVICE PROCESSES IN (B) (6) 1997.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TEC 6 NAD VARIANT CALIBRATED VAPORIZER CAD DATEX-OHMEDA 1107-9101-000

Patients

Seq Age Sex Outcome Treatment
1