FDA Adverse Event Malfunction Summary report: N

AIRVO2 HUMIDIFIER

MDR report key: 5665518 · Received May 18, 2016

Report

Report Number
9611451-2016-00218
Event Type
Malfunction
Date Received
May 18, 2016
Report Date
April 22, 2016
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
BTT
PMA / PMN Number
K131895
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). METHOD: THE COMPLAINT AIRVO HUMIDIFIER WAS RECEIVED AT FISHER & PAYKEL HEALTHCARE IN (B)(4). THE DEVICE WAS PERFORMANCE TESTED AND THE AUDIBLE ALARM FUNCTION WAS CHECKED. AND ELECTRICALLY TESTED. RESULTS: DURING TESTING THE AIRVO TURNED ON AND FUNCTIONED, HOWEVER NO AUDIBLE ALARM WAS HEARD. THE FAULT WAS TRACED TO A FAULTY SPEAKER AND ELECTRICAL RESISTANCE TESTING SHOWED THAT THE SPEAKER'S RESISTANCE WAS OPEN CIRCUIT. A LOT CHECK REVEALED NO OTHER COMPLAINTS OF THIS NATURE FOR LOT NUMBER 140715. CONCLUSION: THE SUPPLIER OF THE SPEAKER UNIT WAS NOTIFIED AND THEY HAVE CARRIED OUT AN INVESTIGATION. THE PROBLEM HAS BEEN TRACED TO AN ISSUE WITH THE GLUING PROCESS. THE SUPPLIER HAS TAKEN STEPS TO ENSURE THAT EACH SPEAKER IS CHECKED FOLLOWING THE GLUING PROCESS AND ANY FOUND FAULTY ARE DISCARDED. ADDITIONAL CHECKS HAVE ALSO BEEN IMPLEMENTED DURING PRODUCTION AT OUR FACILITY TO ENSURE THE SPEAKER IS WORKING AT THE TIME OF MANUFACTURE OF THE AIRVO. THE SUBJECT AIRVO WAS MANUFACTURED PRIOR TO IMPLEMENTATION OF THESE MEASURES. THE AIRVO 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

Description of Event or Problem · 1

A DISTRIBUTOR IN (B)(4) REPORTED THAT THE AUDIBLE ALARM OF AN AIRVO 2 HUMIDIFIER WAS NOT WORKING. NO PATIENT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
317147 AIRVO2 HUMIDIFIER AIRVO2 HUMIDIFIER BTT FISHER & PAYKEL HEALTHCARE LTD PT101 140715

Patients

Seq Age Sex Outcome Treatment
1