FDA Adverse Event Malfunction Summary report: N

7800 VENTILATOR

MDR report key: 2796 · Received February 4, 1993

Report

Report Number
2796
Event Type
Malfunction
Date Received
February 4, 1993
Date of Event
October 14, 1992
Manufacturer
OHIO MEDICAL PRODUCTS
Product Code
CBK
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

DURING INDUCTION, TRANSDUCER CARTRIDGE BROKE OFF OF VENTILATOR WHEN ATTEMPTING TO CONNECT TUBING. UNABLE TO VENTILATE PATIENT - AMBU BAG WAS USED. UNABLE TO REMOVE BROKEN TRANSDUCER FROM MACHINE, HAD TO GET ANOTHER VENTILATOR FROM ANOTHER ROOM (NOTE: THE PATIENT WAS BEING BAGGED ANYWAY BECAUSE SHE WAS A DIFFERENT INTUBATION. THE POSSIBILITY CONSIST THHOUGH THAT HAD THE PATIENT BEEN INTUBATED, AND NOT BEEN ABLE TO VENTILATE, COULD HAVE DELAYED VENTILATORY SUPPORT)DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: USER FACILITY BIOMEDICAL/BIOENGINEERING DEPARTMENT. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, A DEVICE FROM SAME LOT WAS EVALUATED, VISUAL EXAMINATION. RESULTS OF EVALUATION: TRANSDUCER. CONCLUSION: DEVICE FAILED DURING ASSEMBLY. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: NO. CORRECTIVE ACTIONS: DEVICE REPAIRED AND PUT BACK IN SERVICE, DEVICE TEMPORARILY REMOVED FROM SERVICE, USER EDUCATION PROVIDED. THE DEVICE WAS DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 7800 VENTILATOR CBK OHIO MEDICAL PRODUCTS KIT MOD 11

Patients

Seq Age Sex Outcome Treatment
1 57 YR Other