FDA Adverse Event Malfunction Summary report: N

VENTED HUMIDIFICATION CHAMBER

MDR report key: 15154258 · Received August 2, 2022

Report

Report Number
9611451-2022-00703
Event Type
Malfunction
Date Received
August 2, 2022
Date of Event
June 29, 2022
Report Date
July 5, 2022
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTT
PMA / PMN Number
K934140
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THE COMPLAINT MR290VX AUTOFEED VENTED HUMIDIFICATION CHAMBERS ARE CURRENTLY EN-ROUTE TO FISHER & PAYKEL HEALTHCARE (F&P) FOR EVALUATION. WE WILL SEND A FOLLOW UP REPORT UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

(B)(4). ADDITIONAL INFORMATION RECEIVED: CHANGES MADE TO SECTIONS B5, H10 - SINCE THE FINAL REPORT WAS PROVIDED, THE CUSTOMER RETURNED AN ADDITIONAL THREE CHAMBERS RELATED TO THIS REPORTED EVENT FOR INVESTIGATION. NO FURTHER INFORMATION WAS PROVIDED ON THE DATE, SEQUENCE OF EVENTS OR PATIENT OUTCOMES. INVESTIGATION OF THE THREE RETURNED CHAMBERS CONFIRMED A HORIZONTAL CRACK NEAR THE CHAMBER BASE. THESE THREE CHAMBERS EXHIBIT THE SAME DEFECT PATTERN AS THE PREVIOUS FIVE CHAMBERS. SECTION D4: BATCH NUMBERS OF THE RETURNED DEVICES DEVICE 1 - 210825, DEVICE 2 - 210905, DEVICE 3 - 210905, DEVICE 4 - 210905, DEVICE 5 - 210825, DEVICE 6 - 210824, DEVICE 7 - 190713, DEVICE 8 - 210818. METHOD: IN TOTAL, EIGHT COMPLAINT MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBERS WERE RETURNED TO FISHER & PAYKEL HEALTHCARE IN NEW ZEALAND FOR INVESTIGATION FOR EVALUATION, WHERE THEY WERE VISUALLY INSPECTED AND ANALYSED. RESULTS: VISUAL INSPECTION IDENTIFIED HORIZONTAL CRACKS BETWEEN THE CHAMBER BASE AND THE MAXIMUM WATER LEVEL LINE. INK SMUDGES WERE FOUND ON THE PRINTED AREA WHERE THE CRACKS WERE OBSERVED. ANALYSIS OF THE CONNECTION BETWEEN THE CHAMBER BASE AND DOME WAS CONDUCTED AND THERE WERE NO DEFECTS IDENTIFIED THAT WOULD HAVE CONTRIBUTED TO CRACKED CHAMBER DOMES. CONCLUSION: WE ARE UNABLE TO DETERMINE THE CAUSE OF THE CHAMBER CRACKS. HOWEVER, BASED ON OUR INVESTIGATION, IT IS MOST LIKELY DUE TO EXTERNALLY APPLIED MECHANICAL STRESS. EVERY MR290VX CHAMBER IS PRESSURE TESTED FOLLOWING THE MANUFACTURING PROCESS TO CHECK FOR ANY LEAKS PRESENT IN THE CHAMBER DUE TO CRACKS AND OTHER CAUSES. ANY CHAMBER WHICH FAILS THIS TEST IS REJECTED. IN ADDITION, THE PRESSURE TEST IS FOLLOWED BY A VISUAL INSPECTION OF EACH CHAMBER. NO CRACKS IN THE CHAMBER DOME ARE ACCEPTABLE. ANY CHAMBER THAT FAILS THIS INSPECTION IS REJECTED. THE SUBJECT MR290VX CHAMBERS WOULD HAVE MET THE REQUIRED SPECIFICATION AT THE TIME OF PRODUCTION. OUR USER INSTRUCTIONS THAT ACCOMPANY THE MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBER STATE THE FOLLOWING: "DO NOT SOAK, WASH, STERILIZE, OR REUSE THIS PRODUCT. AVOID CONTACT WITH CHEMICALS, CLEANING AGENTS, OR HAND SANITIZERS." "ENSURE APPROPRIATE VENTILATOR OR FLOW SOURCE ALARMS ARE SET BEFORE CONNECTING BREATHING SET TO PATIENT." "PERFORM A PRESSURE AND LEAK TEST ON THE BREATHING SYSTEM AND CHECK FOR OCCLUSIONS BEFORE CONNECTING TO A PATIENT." "USE OF THE MR290 ABOVE THE MAXIMUM OPERATING PRESSURE MAY LEAD TO CRACKING, WATER LEAKAGE AND, ON RARE OCCASIONS COULD LEAD TO A LOSS OF VENTILATION PRESSURE."

Additional Manufacturer Narrative · 0

(B)(4), SECTION D4: BATCH NUMBERS OF THE RETURNED DEVICES DEVICE 1 - 210825 0304, DEVICE 2 - 210905 1144, DEVICE 3 - 210905 0849, DEVICE 4 - 210905 0926, DEVICE 5 - 210825 0147. METHOD: FIVE COMPLAINT MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBERS WERE RETURNED TO FISHER & PAYKEL HEALTHCARE IN NEW ZEALAND FOR INVESTIGATION FOR EVALUATION, WHERE THEY WERE VISUALLY INSPECTED AND ANALYSED. RESULTS: VISUAL INSPECTION IDENTIFIED HORIZONTAL CRACKS BETWEEN THE CHAMBER BASE AND THE MAXIMUM WATER LEVEL LINE. INK SMUDGES WERE FOUND ON THE PRINTED AREA WHERE THE CRACKS WERE OBSERVED. ANALYSIS OF THE CONNECTION BETWEEN THE CHAMBER BASE AND DOME WAS CONDUCTED AND THE MEASUREMENTS WERE CONFIRMED TO BE WITHIN SPECIFICATION. CONCLUSION: WE ARE UNABLE TO DETERMINE THE CAUSE OF THE CHAMBER CRACKS. HOWEVER, BASED ON OUR INVESTIGATION, IT IS MOST LIKELY DUE TO EXTERNALLY APPLIED MECHANICAL STRESS. EVERY MR290VX CHAMBER IS PRESSURE TESTED FOLLOWING THE MANUFACTURING PROCESS TO CHECK FOR ANY LEAKS PRESENT IN THE CHAMBER DUE TO CRACKS AND OTHER CAUSES. ANY CHAMBER WHICH FAILS THIS TEST IS REJECTED. IN ADDITION, THE PRESSURE TEST IS FOLLOWED BY A VISUAL INSPECTION OF EACH CHAMBER. NO CRACKS IN THE CHAMBER DOME ARE ACCEPTABLE. ANY CHAMBER THAT FAILS THIS INSPECTION IS REJECTED. THE SUBJECT MR290VX CHAMBERS WOULD HAVE MET THE REQUIRED SPECIFICATION AT THE TIME OF PRODUCTION. OUR USER INSTRUCTIONS THAT ACCOMPANY THE MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBER STATE THE FOLLOWING: "DO NOT SOAK, WASH, STERILIZE, OR REUSE THIS PRODUCT. AVOID CONTACT WITH CHEMICALS, CLEANING AGENTS, OR HAND SANITIZERS. ENSURE APPROPRIATE VENTILATOR OR FLOW SOURCE ALARMS ARE SET BEFORE CONNECTING BREATHING SET TO PATIENT. PERFORM A PRESSURE AND LEAK TEST ON THE BREATHING SYSTEM AND CHECK FOR OCCLUSIONS BEFORE CONNECTING TO A PATIENT. USE OF THE MR290 ABOVE THE MAXIMUM OPERATING PRESSURE MAY LEAD TO CRACKING, WATER LEAKAGE AND, ON RARE OCCASIONS COULD LEAD TO A LOSS OF VENTILATION PRESSURE."

Description of Event or Problem · 0

A DISTRIBUTOR REPORTED ON BEHALF OF A HEALTHCARE FACILITY IN ISRAEL VIA A FISHER & PAYKEL HEALTHCARE (F&P) FIELD REPRESENTATIVE THAT THREE MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBERS WERE FOUND TO BE LEAKING WATER DURING PATIENT USE. THERE WAS NO REPORTED PATIENT CONSEQUENCE.

Description of Event or Problem · 0

A DISTRIBUTOR REPORTED ON BEHALF OF A HEALTHCARE FACILITY IN ISRAEL VIA A FISHER & PAYKEL HEALTHCARE (F&P) FIELD REPRESENTATIVE THAT SEVERAL MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBERS WERE FOUND TO BE LEAKING WATER DURING PATIENT USE. THERE WAS NO REPORTED PATIENT CONSEQUENCE.

Description of Event or Problem · 0

A DISTRIBUTOR REPORTED ON BEHALF OF A HEALTHCARE FACILITY IN ISRAEL VIA A FISHER & PAYKEL HEALTHCARE (F&P) FIELD REPRESENTATIVE THAT THREE MR290VX VENTED AUTOFEED HUMIDIFICATION CHAMBERS WERE FOUND TO BE LEAKING WATER DURING PATIENT USE. THERE WAS NO REPORTED PATIENT CONSEQUENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1412017 VENTED HUMIDIFICATION CHAMBER AUTOFEED CHAMBER BTT FISHER & PAYKEL HEALTHCARE LTD MR290VX SEE H10

Patients

Seq Age Sex Outcome Treatment
1 Unknown