FDA Adverse Event Malfunction Summary report: N

S/5 AESPIRE CONFIG

MDR report key: 6017293 · Received October 11, 2016

Report

Report Number
2112667-2016-01985
Event Type
Malfunction
Date Received
October 11, 2016
Date of Event
September 13, 2016
Report Date
October 11, 2016
Manufacturer
DATEX-OHMEDA, INC.
Product Code
BSZ
PMA / PMN Number
K000706
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE SWITCH PRESSURE SENSITIVE 20 PSI WAS REPLACED TO FIX THE REPORTED FAILURE. THE INITIAL REPORTER IS LOCATED OUTSIDE THE U.S., AND THEREFORE THIS INFORMATION IS NOT PROVIDED DUE TO COUNTRY PRIVACY LAWS.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT, A NOISE WAS HEARD FROM THE AREA OF THE FAN AND A MESSAGE APPEARS STATING LOW LEVEL OF DRIVE GAS. THERE WAS NO REPORTED PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
668342 S/5 AESPIRE CONFIG ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA, INC.

Patients

Seq Age Sex Outcome Treatment
1