FDA Adverse Event Malfunction Summary report: N

HNE HEALTHCARE/HUNTLEIGH

MDR report key: 191670 · Received October 7, 1998

Report

Report Number
191670
Event Type
Malfunction
Date Received
October 7, 1998
Report Date
October 5, 1998
Manufacturer
HNE HEALTHCARE
Product Code
JOW
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

10/5/98. HOSP HAS BEEN OFFERED THE HUNTLEIGH FLOWTRON MODEL #AC500 INTERMITTENT PNEUMATIC COMPRESSION PUMP TO BE USED FOR THE PREVENTION OF DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM IN PT POPULATION. AFTER HAVING HOSP BIOMED PERSONNEL EXAMINE THE AC500 PUMP FOR THE REQUIRED UL544 MEDICAL AND DENTAL EQUIPMENT REGULATION COMPLIANCE, BIOMED HAS DETERMINED THE PRODUCT DOES NOT CURRENTLY MEET THREE UL544 STANDARDS: 1) UL544 24.4, 24.5 - THE AC500 PUMP IS NOT PROPERLY GROUNDED BECAUSE ASSEMBLY SCREWS WERE USED TO GROUND THE DEVICE. THIS PRESENTS A PROBLEM OF A PPOSSIBLE 110 VOLT SHOCK TO HOSP PERSONNEL OR PTS. 2) UL544 62.1, 67.1 (ATTACHED) - THE AC500 PUMP DOES NOT HAVE THE PROPER LABEL ON THE ELECTRICAL CORD AND IS MISSING THE "DANGER" LABEL REQUIRED FOR ANESTHESIA CAUTION. HUNTLEIGH'S NEW MODEL AC550 DOES NOT APPEAR TO HAVE THE SHORTCOMINGS IN UL REQUIREMENTS AS DOES THEIR AC500 MODEL. HOWEVER, RPTR IS TOLD THERE ARE SEVERAL THOUSAND OF AC500 PUMPS IN HOSPITALS TODAY. ONE REF GIVEN WAS A HOSP WHERE SOME TWO HUNDRED OF THESE AC500 PUMPS ARE IN OPERATION. THE POSSIBLE SHOCK TO INDIVIDUALS DUE TO THIS IMPROPER GROUNDING AND NOT MEETING THE BASIC UL544 REQUIREMENT IS THE CRITICAL ISSUE. AS A HEALTH CARE PROFESSIONAL BELIEVES HUNTLEIGH SHOULD HAVE TO REMOVE ANY AND ALL OF THE MANY AC500'S IN EXISTENCE AND, AT A MINIMUM, BRING THESE DEVICES TO MEET CURRENT UL544 STANDARDS OR REPLACE THEM WITH A MODEL WHICH DOES MEET THE UL STANDARD TO PREVENT ANY HARMFUL SITUATION FROM EVER HAPPENING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HNE HEALTHCARE/HUNTLEIGH AC500 IPC COMPRESSION PUMP JOW HNE HEALTHCARE AC500 *

Patients

Seq Age Sex Outcome Treatment
1 * Other