FDA Adverse Event Malfunction Summary report: N

AIRVO2 HUMIDIFIER

MDR report key: 3885134 · Received June 19, 2014

Report

Report Number
9611451-2014-00543
Event Type
Malfunction
Date Received
June 19, 2014
Report Date
May 23, 2014
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTT
PMA / PMN Number
K131895
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE AIRVO IS A HUMIDIFIER WITH INTEGRATED FLOW GENERATOR THAT DELIVERS WARMED AND HUMIDIFIED RESPIRATORY GASES TO SPONTANEOUSLY BREATHING PATIENTS THROUGH A VARIETY OF PATIENT INTERFACES. METHOD: THE COMPLAINT AIRVO HUMIDIFIER WAS RETURNED TO FISHER & PAYKEL HEALTHCARE IN (B)(4) FOR EVALUATION. RESULTS: THE COMPLAINT DEVICE WAS TESTED BY CAUSING AN ALARM TO OCCUR. A WARNING MESSAGE WAS DISPLAYED BUT THERE WAS NO AUDIBLE ALARM. THE FAULT WAS TRACED TO A FAULTY SPEAKER AND ELECTRICAL RESISTANCE TESTING SHOWED THAT SPEAKER WAS OPEN CIRCUIT. A LOT CHECK REVEALED NO OTHER SIMILAR COMPLAINTS FOR LOT NUMBER 140217. CONCLUSION: WE WERE UNABLE TO DETERMINE WHAT CAUSED THE SPEAKER RESISTANCE TO BECOME OPEN CIRCUIT. THE AIRVO 2 USER MANUAL STATES THAT THE "AIRVO IS FOR THE TREATMENT OF SPONTANEOUSLY BREATHING PATIENTS WHO WOULD BENEFIT FROM RECEIVING HIGH-FLOW, WARMED AND HUMIDIFIED RESPIRATORY GASES." AND THAT "THE UNIT IS NOT INTENDED FOR LIFE SUPPORT." THE USER MANUAL ALSO CONTAINS INSTRUCTIONS ON HOW TO CHECK THE ALARM SYSTEM FUNCTIONALITY AND STATES THAT "IF EITHER ALARM SIGNAL IS ABSENT, DO NOT USE THE UNIT. CONTACT YOUR FISHER & PAYKEL HEALTHCARE REPRESENTATIVE." WE HAVE ONLY RECEIVED ONE OTHER COMPLAINT OF THIS TYPE FOR THE AIRVO.

Description of Event or Problem · 1

A HOSPITAL IN THE (B)(6) REPORTED THAT THE ALARM ON A PT101 AIRVO HUMIDIFIER HAD A 'DISTORTED AUDIBLE SOUND'. THIS WAS REPORTED BY A HOSPITAL TECHNICIAN AND NOT DURING PATIENT USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
360701 AIRVO2 HUMIDIFIER AIRVO2 HUMIDIFIER BTT FISHER & PAYKEL HEALTHCARE LTD PT101 140217

Patients

Seq Age Sex Outcome Treatment
1