FDA Adverse Event Malfunction Summary report: N

PRODUCT VYNTUS BODY

MDR report key: 17828296 · Received September 27, 2023

Report

Report Number
9615102-2023-00138
Event Type
Malfunction
Date Received
September 27, 2023
Date of Event
February 14, 2023
Report Date
September 27, 2023
Manufacturer
VYAIRE MEDICAL GMBH
Product Code
JEH
PMA / PMN Number
K190853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ON 8.SEPT.2023 DURING A COMPLAINT SEARCH IT BECAME EVIDENT, THAT THIS COMPLAINT IS A SIMILAR COMPLAINT TO THE REPORTABLE COMPLAINT (B)(4).THE REPORTING DECISION WAS UPDATED ACCORDINGLY. A FIELD SERVICE ENGINEER WENT ON SITE AND CHECKED AND REPAIRED THE SYSTEM USING THE FOLLOWING SPARE PARTS: 1 X V-707377, USS MODULE WITH ADAPTER, 1 X V-707389, FPV BLOCK, 1 X V-707392 ASSY HOUSING CLAMP OF FPV, AFTER REPAIR THE DEVICE HAS BEEN CALIBRATED, TESTED, AND WORKS AGAIN AS SPECIFIED. THE CAPA INVESTIGATION IDENTIFIED THE FOLLOWING ROOT CAUSE: MISUSE OF THE USS AS A ¿HANDLE¿ TO CHANGE THE SUPPORT ARM POSITION INSTEAD OF USING THE PROPER HANDLE OF THE VYNTUS BODY SUPPORT ARM OR THE SUPPORT ARM ITSELF. THIS MISUSE LOOSENS THE MECHANICAL CONNECTION BETWEEN THE USS AND THE FPV SO IT BECOMES INSUFFICIENT TO HOLD THE USS IN PLACE.

Description of Event or Problem · 0

THE CUSTOMER CALLED AND REPORTED THAT THE ULTRASOUND SENSOR FELL DOWN CAUSING A DEFECTIVE ULTRASOUND SENSOR AND FPV. NO PATIENT OR USER WAS HIT BY THE FALLING PART.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2271212 PRODUCT VYNTUS BODY VYNTUS BODY JEH VYAIRE MEDICAL GMBH PRODUCT VYNTUS BODY

Patients

Seq Age Sex Outcome Treatment
1 Unknown