FDA Adverse Event Malfunction Summary report: N

SECHRIST INDUSTRIES INC.

MDR report key: 20946259 · Received December 16, 2024

Report

Report Number
2020676-2024-00023
Event Type
Malfunction
Date Received
December 16, 2024
Date of Event
November 18, 2024
Report Date
December 16, 2024
Manufacturer
SECHRIST INDUSTRIES INC.
Product Code
CBF
PMA / PMN Number
K950386
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BASED ON THE SECHRIST TECHNICAN REPORTED ISSUE DISCOVERED DURING PM SERVICE. CHAMBER HAS NOT BEEN REPAIRED AT THIS TIME AS WAITING FOR FACILITY TO SCHEDULE SERVICE. THEREFORE, NO CONCLUSIONS CAN BE DRAWN AT THIS TIME TO DETERMINE ROOT CAUSE. THE INSTRUCTIONS FOR USE WERE REVIEWED AND FOUND TO PROVIDE ADEQUATE INSTRUCTIONS FOR THE SAFE AND EFFECTIVE USE OF THIS DEVICE. ALL COMPLAINTS ARE TRENDED AND REVIEWED BY MANAGEMENT ON A MONTHLY BASIS. AS PART OF THIS MONTHLY REVIEW, ANY EXCURSION ABOVETHE CONTROL LIMITS FOR THIS FAILURE MODE WILL BE ASSESSED, DOCUMENTED AND ACTED UPON AS WARRANTED. MANUFACTURER REFERENCE FILE NO.: (B)(4).

Description of Event or Problem · 0

DURING PM SERVICE BY SI TECHNICIAN, IT WAS DISCOVERED THAT THE EMERGENCY VENT WAS FALLING OUT OF SPECIFICATION AND NEEDS TO BE REPAIRED TO BRING BACK INTO SPECIFICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2328334 SECHRIST INDUSTRIES INC. CHAMBER, HYPERBARIC CBF SECHRIST INDUSTRIES INC. 3200-00

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown