FDA Adverse Event Malfunction Summary report: N

SECHRIST INDUSTRIES INC.

MDR report key: 21758643 · Received April 2, 2025

Report

Report Number
2020676-2025-00012
Event Type
Malfunction
Date Received
April 2, 2025
Date of Event
March 11, 2025
Report Date
April 1, 2025
Manufacturer
SECHRIST INDUSTRIES INC.
Product Code
CBF
UDI-DI
00852682007774
PMA / PMN Number
K100268
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

CUSTOMER REPORTED THAT DURING WEEKLY TESTING THE LOCKING PIN DID NOT ENGAGE. NO PATIENT INVOLVEMENT. NO USER INJURY REPORTED. THE CHAMBER HAS NOT BEEN EVALUATED BY A SECHRIST TRAINED TECHNICIAN YET SO SUBMISSION IS BASED ONLY ON THE USER REPORTED ISSUE. ONCE EVALUATION OF CHAMBER HAS BEEN COMPLETED AND THE ROOT CAUSE DETERMINED, THE REPORTED ISSUE WILL BE REVIEWED TO DETERMINE CONFIRMATION STATUS (CONFIRMED/NOT CONFIRMED). AT THIS TIME, THERE IS NO EVIDENCE THAT A MANUFACTURING NON-CONFORMITY CONTRIBUTED TO THE REPORTED COMPLAINT, AND THE INSTRUCTIONS FOR USE (IFU) PROVIDE ADEQUATE INSTRUCTIONS AND WARNINGS FOR THE SAFE USE OF THE DEVICE. THEREFORE, NO CORRECTIVE OR PREVENTIVE ACTIONS ARE NECESSARY AT THIS TIME. ALL COMPLAINTS ARE TRENDED AND REVIEWED BY MANAGEMENT ON A MONTHLY BASIS. AS PART OF THIS MONTHLY REVIEW, ANY EXCURSION ABOVE THE CONTROL LIMITS FOR A FAILURE MODE WILL BE ASSESSED, DOCUMENTED, AND ACTED UPON AS WARRANTED. MANUFACTURER REFERENCE FILE NO.: (B)(4).

Description of Event or Problem · 0

AS REPORTED BY THE FACILITY, "DURING WEEKLY CHECK, THE LOCKING PIN DID NOT ENGAGE." NO PATIENT INVOLVEMENT OR USER INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1846755 SECHRIST INDUSTRIES INC. CHAMBER, HYPERBARIC CBF SECHRIST INDUSTRIES INC. 4100H/HR 00852682007774

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown