FDA Adverse Event Malfunction Summary report: N

FLOW-I C20 ANESTHESIA SYSTEM

MDR report key: 21812307 · Received April 10, 2025

Report

Report Number
8010042-2025-0000564
Event Type
Malfunction
Date Received
April 10, 2025
Date of Event
January 22, 2025
Report Date
April 10, 2025
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
BSZ
PMA / PMN Number
K191027
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION OF THE REPORTED FAILURE IN THIS COMPLAINT HAS BEEN COMPLETED. DEVICE LOGS WERE NOT AVAILABLE FOR REVIEW. OUR FIELD SERVICE ENGINEER INVESTIGATED THE SYSTEM ON-SITE AND CONFIRMED THE ISSUE. THE PEEP MEMBRANE IN THE PATIENT CASSETTE WAS REPLACED, WHICH INITIALLY RESOLVED THE PROBLEM. HOWEVER, THE ISSUE RECURRED AFTER TWO DAYS, PROMPTING FURTHER SERVICE INTERVENTION. AS A RESULT, THE FSE REPLACED BOTH THE INSPIRATORY PRESSURE TRANSDUCER AND THE EXPIRATORY CHANNEL PCB. THIS INCIDENT IS DOCUMENTED IN MFG REPORT NUMBER: 8010042-2025-0000211.

Description of Event or Problem · 0

MANUFACTURER'S REFERENCE NUMBER: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING PATIENT TREATMENT, THE MEASURED PEEP PRESSURE WAS HIGHER THAN SET. THERE WAS NO PATIENT HARM. MANUFACTURER'S REFERENCE NUMBER: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1665657 FLOW-I C20 ANESTHESIA SYSTEM GAS-MACHINE, ANESTHESIA BSZ MAQUET CRITICAL CARE AB 6888520

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown