FDA Adverse Event Malfunction Summary report: N

ANESTHESIA MACHINE

MDR report key: 31371 · Received March 20, 1996

Report

Report Number
MW4001108
Event Type
Malfunction
Date Received
March 20, 1996
Report Date
January 10, 1996
Manufacturer
NORTH AMERICAN DRAGER
Product Code
GSZ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

RPTR RECEIVED CALL FROM A SURGERY TECHNICIAN. HE INFORMED MEDICAL EQUIPMENT REPAIR OF AN APPARENT ANESTHESIA MACHINE MALFUNCTION. IT HAD REPORTEDLY STOPPED DELIVERING OXYGEN TO THE PT. THEY IMMEDIATELY SWITCHED TO BOTTLED OXYGEN WITHOUT SUCCESS. THERE ARE CONFLICTING REPORTS ABOUT WHETHER THE INCOMING OXYGEN GAUGE DISPLAYED PROPER PRESSURE OR NOT. IN HOPES OF RESOLVING THE PROBLEM, A TECHNICIAN LEFT THE ROOM TO GET A NEW BOTTLE OF OXYGEN; BUT, BY THE TIME HE RETURNED, THE ANESTHESIA MACHINE HAD RETURNED TO NORMAL OPERATION. SINCE THE PROCEDURE WAS NEARLY FINISHED, THE MACHINE WAS USED TO FINISH THE CASE. AS SOON AS THE CASE WAS COMPLETED THE ANESTHESIA MACHINE WAS REMOVED FROM SERVICE. A FOLLOW-UP CALL ON 2/9/96 REVEALED THAT THE MACHINE IN QUESTION HAS OPERATED PERFECTLY SINCE THE INITIAL PROBLEM WAS REPORTED AS HAVE THEIR OTHER THREE UNITS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ANESTHESIA MACHINE ANESTHESIA MACHINE GSZ NORTH AMERICAN DRAGER

Patients

Seq Age Sex Outcome Treatment
1 *