FDA Adverse Event Malfunction Summary report: N

A350 SERIES CC

MDR report key: 20308532 · Received September 26, 2024

Report

Report Number
3019545235-2024-00030
Event Type
Malfunction
Date Received
September 26, 2024
Date of Event
July 1, 2024
Report Date
November 12, 2024
Manufacturer
SHANGHAI DRAEGER MEDICAL INSTRUMENT CO. LTD.
Product Code
BSZ
PMA / PMN Number
K230931
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION HAS JUST STARTED; RESULTS WILL BE PROVIDED IN A FOLLOW-UP REPORT.

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT DURING THE SURGERY, THE ANESTHESIA MACHINE SUDDENLY FAILED TO PROVIDE MECHANICAL VENTILATION. THE ANESTHESIOLOGIST IMMEDIATELY SWITCHED TO MANUAL VENTILATION UPON DISCOVERING THE ISSUE, AND THE ANESTHESIA MACHINE WAS PROMPTLY REPLACED WITH ANOTHER ONE. THE PATIENT'S VITAL SIGNS REMAINED STABLE. DRAEGER LOCAL FSE WAS CONTACTED, AND ARRIVED AT CUSTOMER SITE TO CHECK THIS DEVICE, THE DEVICE CAN PASS THE SELF-TEST, NO FURTHER ISSUE OCCURED. AFTER CHECKING THE DEBUGLOG PROVIDED BY FSE, THERE WAS FAILURE IN IT. ACCORDING TO THE FAILURES, SDMI INVESTIGATORS HAVE DONE THE FOLLOWING TESTS TO REPRODUCE THE FAILURE. THE ROOT CAUSE COULD BE REASONABLY SUSPECTED AS THE FOLLOWING OCCURRED DURING THE TESTS AND THE DEVICE WORKS AS DESIGNED: 1) THE CENTRAL O2 SUPPLY IS NOT STABLE, AIR TURBULANCE TRIGGERED THE ALARM OF APNEA DURING OPERATION; 2) BREATHING LOOP BETWEEN THE PATIENT AND THE DEVICE IS NOT FULLY CONNECTED, LEAKAGE OCCURRED.

Description of Event or Problem · 0

IT WAS REPORTED THAT VENT FAIL DURING USAGE, NO HEALTH CONSEQUENCES HAVE REPORTEDLY OCCURRED.

Description of Event or Problem · 0

IT WAS REPORTED THAT VENT FAIL DURING USAGE ,NO HEALTH CONSEQUENCES HAVE REPORTEDLY OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2264542 A350 SERIES CC ANESTHESIA UNITS BSZ SHANGHAI DRAEGER MEDICAL INSTRUMENT CO. LTD. 2600000

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown