FDA Adverse Event Malfunction Summary report: N

AMBU AVIEW 2 ADVANCE

MDR report key: 19048038 · Received April 4, 2024

Report

Report Number
1220828-2024-00006
Event Type
Malfunction
Date Received
April 4, 2024
Report Date
October 2, 2024
Manufacturer
AMBU A/S
Product Code
FEM
UDI-DI
05707480145089
Product Problem
Yes
Report Source
Distributor report
Reporter Location
UK
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

INITIAL MDR 1220828-2024-00006 REPORTED APRIL 4, 2024: THE DEVICE IS AVAILABLE FOR INVESTIGATION, HOWEVER, THE DEVICE IS NOT YET RECEIVED BY THE MANUFACTURER. INVESTIGATION WILL BE PERFORMED AS SOON AS THE DEVICE IS DELIVERED AT MANUFACTURER. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN FINALIZED. FOLLOW-UP #1 MDR 1220828-2024-00006 REPORTED MAY 22, 2024: THE DEVICE WAS RETURNED TO THE MANUFACTURER APRIL 22ND, 2024. THE INVESTIGATION OF THE DEVICE HAS BEEN INITIATED AND IS STILL ONGOING. A FOLLOW-UP REPORT/FINAL REPORT WILL BE SUBMITTED WHEN MORE INVESTIGATIVE RESULTS ARE AVAILABLE OR WHEN THE INVESTIGATION HAS BEEN FINALIZED. FOLLOW-UP REPORT #2 OCTOBER 02, 2024: D4: UDI RELATED DATA QUALITY UPDATES. ONLY PRIMARY DI NUMBER INCLUDED, NO PI NUMBER, AS LOT IS UNKNOWN. G3: DATE UPDATED TO REFLECT WHEN WAS THE NEW CONCLUSION PROVIDED BY THE INVESTIGATION H6: C CODE UPDATED AND D ADDED. H10: RELATED REPORT NUMBER ADDED. AS PART OF THE INVESTIGATING OF THE ACTUAL DEVICE, THE UNIT WAS TURNED ON AND THE SOFTWARE VERSION WAS IDENTIFIED AS V1.0.0. THE LOG FILE WAS EXTRACTED AND SUBMITTED TO AMBU SOFTWARE TEAM FOR FURTHER ANALYSIS. FROM THE LOG FILE EVALUATION IT WAS POSSIBLE TO IDENTIFY A NORMAL START UP BEHAVIOUR OF THE SYSTEM AND THE ENDOSCOPE WAS PLUGGED IN AND PLUGGED OUT IN TWO DIFFERENT CONNECTORS AND IN ALL THE SITUATIONS, THE ENDOSCOPE WAS CORRECTLY IDENTIFIED. AFTER THIS A NORMAL SHUTDOWN WAS EXECUTED. THE ANALYSIS WAS DONE IN THE LATEST LOG ENTRY AVAILABLE IN THE LOG FILE AS THERE IS NO CONFIRMATION OF THE DATE OF THE INCIDENT. IN THE OVERALL EVALUATION, IT WAS NOT POSSIBLE TO IDENTIFY THE ROOT CAUSE, AS NO ISSUE WAS ASSOCIATED IN THE LOG FILE RELATED TO THE PROBLEM REPORTED.

Additional Manufacturer Narrative · 0

THE DEVICE IS AVAILABLE FOR INVESTIGATION, HOWEVER, THE DEVICE IS NOT YET RECEIVED BY THE MANUFACTURER. INVESTIGATION WILL BE PERFORMED AS SOON AS THE DEVICE IS DELIVERED AT MANUFACTURER. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN FINALIZED.

Additional Manufacturer Narrative · 0

INITIAL MDR 1220828-2024-00006 REPORTED APRIL 4, 2024: THE DEVICE IS AVAILABLE FOR INVESTIGATION, HOWEVER, THE DEVICE IS NOT YET RECEIVED BY THE MANUFACTURER. INVESTIGATION WILL BE PERFORMED AS SOON AS THE DEVICE IS DELIVERED AT MANUFACTURER. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN FINALIZED. FOLLOW-UP #1 MDR 1220828-2024-00006 REPORTED MAY 22, 2024: THE DEVICE WAS RETURNED TO THE MANUFACTURER APRIL 22ND, 2024. THE INVESTIGATION OF THE DEVICE HAS BEEN INITIATED AND IS STILL ONGOING. A FOLLOW-UP REPORT/FINAL REPORT WILL BE SUBMITTED WHEN MORE INVESTIGATIVE RESULTS ARE AVAILABLE OR WHEN THE INVESTIGATION HAS BEEN FINALIZED.

Description of Event or Problem · 0

THE USER REPORTED THAT THE MONITOR WAS NOT RESPONDING AND HAVING ISSUE BOOTING UP WHILST TRYING TO INTUBATE A PATIENT. ANOTHER MONITOR WAS USED AND THE PATIENT WAS INTUBATED SUCCESSFULLY. THE USER HAS REPORTED THAT THE MONITOR HAS WORKED AGAIN AFTER A HARD RESET HOWEVER THEY HAVE NOTICED BOOTING AND SHUTTING DOWN ISSUES WITH THIS MONITOR.

Description of Event or Problem · 0

THE USER REPORTED THAT THE MONITOR WAS NOT RESPONDING AND HAVING ISSUE BOOTING UP WHILST TRYING TO INTUBATE A PATIENT. ANOTHER MONITOR WAS USED AND THE PATIENT WAS INTUBATED SUCCESSFULLY. THE USER HAS REPORTED THAT THE MONITOR HAS WORKED AGAIN AFTER A HARD RESET HOWEVER THEY HAVE NOTICED BOOTING AND SHUTTING DOWN ISSUES WITH THIS MONITOR.

Description of Event or Problem · 0

THE USER REPORTED THAT THE MONITOR WAS NOT RESPONDING AND HAVING ISSUE BOOTING UP WHILST TRYING TO INTUBATE A PATIENT. ANOTHER MONITOR WAS USED AND THE PATIENT WAS INTUBATED SUCCESSFULLY. THE USER HAS REPORTED THAT THE MONITOR HAS WORKED AGAIN AFTER A HARD RESET HOWEVER THEY HAVE NOTICED BOOTING AND SHUTTING DOWN ISSUES WITH THIS MONITOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2018088 AMBU AVIEW 2 ADVANCE AMBU AVIEW 2 ADVANCE FEM AMBU A/S 05707480145089

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown