FDA Adverse Event Malfunction Summary report: N

ALDUK IV

MDR report key: 13247259 · Received January 13, 2022

Report

Report Number
9611500-2022-00011
Event Type
Malfunction
Date Received
January 13, 2022
Date of Event
January 5, 2022
Report Date
June 6, 2022
Manufacturer
DRÄGERWERK AG & CO. KGAA
Product Code
CAN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION WAS BASED ON THE ANALYSIS OF THE AVAILABLE INFORMATION. IN ADDITION, THE INVESTIGATION ALSO TOOK INTO ACCOUNT INFORMATION FROM SIMILAR CASES. BASED ON THE INVESTIGATION, THE REPORTED EVENT COULD BE TRACED. IN SIMILAR CASES WITH A COMPARABLE ERROR PATTERN, IT COULD ALREADY BE SHOWN THAT THE CAUSE WAS NOT DUE TO A DEVICE ERROR. THE CONNECTION IS SAFE WHEN HANDLED CORRECTLY, AS LONG AS IT IS PROPERLY TIGHTENED TO PREVENT OXYGEN FROM ESCAPING. IF THE CYLINDER CONNECTION IS NOT COMPLETELY TIGHTENED BEFORE THE VALVE IS OPENED AND THE GAS ESCAPES THROUGH A LEAK, HEAT MAY BE GENERATED AND THE O-RING MAY BE THERMALLY DAMAGED. AN APPLICATION ERROR MUST THEREFORE BE ASSUMED. THE INSTRUCTIONS FOR USE OF THE DEVICE CONTAIN A CORRESPONDING WARNING AND CORRECTIVE MEASURES. ALL ALDUK SERIES HAVE PASSED THE NORMATIVE TEST FOR BURNOUT RESISTANCE WHEN EXPOSED TO OXYGEN PRESSURE SURGES ("BAM TEST") AND ARE APPROVED ACCORDING TO ISO 10524-1:2006. THE DIMENSIONS AND MEASUREMENTS OF THE ALDUK CYLINDER CONNECTION IN THE VERSION FOR THE (B)(4) MARKET CORRESPOND TO THE VALID STANDARD DIN 477-1. THE NUMBER OF COMPARABLE CASES, RELATED TO THE ROOT CAUSE, IS WITHIN THE RANGE INITIALLY ASSUMED IN THE UNDERLYING RISK ASSESSMENT AND IS THUS ACCEPTED.

Additional Manufacturer Narrative · 0

DUE TO A TECHNICAL ISSUE WITH OUR INTERNAL EMDR SYSTEM WE SUBMITTED FOR THE FORM FDA 3500A AN INCORRECT VALUE FOR THE FIELD. NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 0

THE INVESTIGATION WAS BASED ON THE ANALYSIS OF THE AVAILABLE INFORMATION. IN ADDITION, THE INVESTIGATION ALSO TOOK INTO ACCOUNT INFORMATION FROM SIMILAR CASES. BASED ON THE INVESTIGATION, THE REPORTED EVENT COULD BE TRACED. IN SIMILAR CASES WITH A COMPARABLE ERROR PATTERN, IT COULD ALREADY BE SHOWN THAT THE CAUSE WAS NOT DUE TO A DEVICE ERROR. THE CONNECTION IS SAFE WHEN HANDLED CORRECTLY, AS LONG AS IT IS PROPERLY TIGHTENED TO PREVENT OXYGEN FROM ESCAPING. IF THE CYLINDER CONNECTION IS NOT COMPLETELY TIGHTENED BEFORE THE VALVE IS OPENED AND THE GAS ESCAPES THROUGH A LEAK, HEAT MAY BE GENERATED AND THE O-RING MAY BE THERMALLY DAMAGED. AN APPLICATION ERROR MUST THEREFORE BE ASSUMED. THE INSTRUCTIONS FOR USE OF THE DEVICE CONTAIN A CORRESPONDING WARNING AND CORRECTIVE MEASURES. ALL ALDUK SERIES HAVE PASSED THE NORMATIVE TEST FOR BURNOUT RESISTANCE WHEN EXPOSED TO OXYGEN PRESSURE SURGES ("BAM TEST") AND ARE APPROVED ACCORDING TO ISO 10524-1:2006. THE DIMENSIONS AND MEASUREMENTS OF THE ALDUK CYLINDER CONNECTION IN THE VERSION FOR THE (B)(4) MARKET CORRESPOND TO THE VALID STANDARD DIN 477-1. THE NUMBER OF COMPARABLE CASES, RELATED TO THE ROOT CAUSE, IS WITHIN THE RANGE INITIALLY ASSUMED IN THE UNDERLYING RISK ASSESSMENT AND IS THUS ACCEPTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A TRAINING OF A NEW EMPLOYEE (NURSING) IN THE OXYLOG DEVICE. THE CHANGING OF THE OXYGEN CYLINDER WAS FIRST EXPLAINED AND DEMONSTRATED THEORETICALLY, THEN PRACTICALLY. DURING THE REPEATED CHANGE BY THE PERSON BEING TRAINED, A CLEAR LEAK WAS HEARD, WHEREUPON THE USER IMMEDIATELY WANTED TO CLOSE THE O2 CYLINDER. AT THE SAME TIME THERE WAS A SPARK AND STRONG HEATING OF THE PRESSURE REDUCER (OXYLINE). THE BOTTLE COULD NEVERTHELESS BE CAPPED, BUT THE SEAL WAS THEN THE CYLINDER COULD NEVERTHELESS BE CLOSED, BUT THERE WAS CONSIDERABLE CHARRING OF THE SEAL ON THE PRESSURE REDUCER AND ON THE THREAD OF THE OXYGEN CYLINDER. NO INJURY WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A TRAINING OF A NEW EMPLOYEE (NURSING) IN THE OXYLOG DEVICE. THE CHANGING OF THE OXYGEN CYLINDER WAS FIRST EXPLAINED AND DEMONSTRATED THEORETICALLY, THEN PRACTICALLY. DURING THE REPEATED CHANGE BY THE PERSON BEING TRAINED, A CLEAR LEAK WAS HEARD, WHEREUPON THE USER IMMEDIATELY WANTED TO CLOSE THE O2 CYLINDER. AT THE SAME TIME THERE WAS A SPARK AND STRONG HEATING OF THE PRESSURE REDUCER (OXYLINE). THE BOTTLE COULD NEVERTHELESS BE CAPPED, BUT THE SEAL WAS THEN THE CYLINDER COULD NEVERTHELESS BE CLOSED, BUT THERE WAS CONSIDERABLE CHARRING OF THE SEAL ON THE PRESSURE REDUCER AND ON THE THREAD OF THE OXYGEN CYLINDER. NO INJURY WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A TRAINING OF A NEW EMPLOYEE (NURSING) IN THE OXYLOG DEVICE. THE CHANGING OF THE OXYGEN CYLINDER WAS FIRST EXPLAINED AND DEMONSTRATED THEORETICALLY, THEN PRACTICALLY. DURING THE REPEATED CHANGE BY THE PERSON BEING TRAINED, A CLEAR LEAK WAS HEARD, WHEREUPON THE USER IMMEDIATELY WANTED TO CLOSE THE O2 CYLINDER. AT THE SAME TIME THERE WAS A SPARK AND STRONG HEATING OF THE PRESSURE REDUCER (OXYLINE). THE BOTTLE COULD NEVERTHELESS BE CAPPED, BUT THE SEAL WAS THEN THE CYLINDER COULD NEVERTHELESS BE CLOSED, BUT THERE WAS CONSIDERABLE CHARRING OF THE SEAL ON THE PRESSURE REDUCER AND ON THE THREAD OF THE OXYGEN CYLINDER. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2099353 ALDUK IV REGULATORS, HIGH-PRESSURE GAS CAN DRÄGERWERK AG & CO. KGAA NA NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown