FDA Adverse Event Malfunction Summary report: N

OXYLOG 3000PLUS

MDR report key: 16033257 · Received December 22, 2022

Report

Report Number
9611500-2022-00354
Event Type
Malfunction
Date Received
December 22, 2022
Date of Event
December 10, 2022
Report Date
February 1, 2023
Manufacturer
DRÄGERWERK AG & CO. KGAA
Product Code
CBK
PMA / PMN Number
K103625
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION HAS JUST STARTED; RESULTS WILL BE PROVIDED IN A FOLLOW-UP REPORT. H3 OTHER TEXT : ON-GOING.

Additional Manufacturer Narrative · 0

THE LOGBOOK OF THE AFFECTED OXYLOG 3000PLUS DEVICE WITH THE SERIAL NUMBER ASCC-0150 WAS AVAILABLE FOR THE INVESTIGATION. IN ADDITION, THE DEVICE WAS EXAMINED ON SITE BY A DRÄGER SERVICE TECHNICIAN ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS. NO DEVICE MALFUNCTION WAS DETECTED DURING THE INVESTIGATION. ALSO, NO STOP OF VENTILATION AT THE REPORTED TIME IS DETECTABLE IN THE LOGBOOK. THERE WAS A SHORT TERM DROP IN MV (MINUTE VOLUME) WHICH WAS ALARMED BY THE UNIT AS SPECIFIED WITH "MVE LOW" ALARM (ALARM LIMIT: 4L/MIN). THE SITUATION "MVE < 4L/MIN" OCCURRED ONCE BRIEFLY, CAUSE UNKNOWN, NO FURTHER ALARMS. THE RESULTS OF THE INVESTIGATION DID NOT REVEAL ANY NEW RISKS NOT RECORDED IN THE PRODUCT RISK MANAGEMENT FILE. BASED ON THE INVESTIGATION RESULTS, THE REPORTED EVENT CANNOT BE REPRODUCED. THE EVENT IS ASSESSED BY DRÄGER AS NOT REPORTABLE IN THE SENSE OF THE EUROPEAN MEDDEV 2.12 REV. 8 AND THE MEDICAL DEVICES REGULATION (MDR 2017/745).

Description of Event or Problem · 0

IT HAS BEEN REPORTED THAT THE OXYLOG 3000PLUS DEVICE IN CONCERN WENT OFF 2 TIMES DURING A TRANSPORT. AT THIS POINT IN TIME, THE REPORTED CASE CANNOT BE COMPLETELY REPRODUCED. ALSO, A DEVICE MALFUNCTION OR DEVIATION CANNOT BE EXCLUDED. NO HEALTH CONSEQUENCES OF THE PATIENT WERE REPORTED. IN CASE THE BREATHING PRESSURE (INCL. PEEP) DROPS TO AMBIENT, A DETERIORATION IN STATE OF HEALTH CANNOT BE EXCLUDED FOR PATIENTS WITH DIFFICULT LUNG/VENTILATION CONDITIONS.

Description of Event or Problem · 0

IT HAS BEEN REPORTED THAT THE OXYLOG 3000PLUS DEVICE IN CONCERN WENT OFF 2 TIMES DURING A TRANSPORT. AT THIS POINT IN TIME, THE REPORTED CASE CANNOT BE COMPLETELY REPRODUCED. ALSO, A DEVICE MALFUNCTION OR DEVIATION CANNOT BE EXCLUDED. NO HEALTH CONSEQUENCES OF THE PATIENT WERE REPORTED. IN CASE THE BREATHING PRESSURE (INCL. PEEP) DROPS TO AMBIENT, A DETERIORATION IN STATE OF HEALTH CANNOT BE EXCLUDED FOR PATIENTS WITH DIFFICULT LUNG/VENTILATION CONDITIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2858314 OXYLOG 3000PLUS VENTILATORS, TRANSPORT CBK DRÄGERWERK AG & CO. KGAA NA NA

Patients

Seq Age Sex Outcome Treatment
1 Unknown