FDA Adverse Event Malfunction Summary report: N

AESPIRE 7100

MDR report key: 6142908 · Received December 2, 2016

Report

Report Number
2112667-2016-02346
Event Type
Malfunction
Date Received
December 2, 2016
Date of Event
November 4, 2016
Report Date
December 2, 2016
Manufacturer
DATEX-OHMEDA, INC.
Product Code
BSZ
PMA / PMN Number
K000706
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

A GE HEALTHCARE SERVICE REPRESENTATIVE PERFORMED A CHECKOUT OF THE SYSTEM AND CONFIRMED THE REPORTED ISSUE. A QUOTE FOR REPLACEMENT OF THE POSITIVE END EXPIRATION PRESSURE (PEEP) VALVE AND A PREVENTIVE MAINTENANCE KIT WAS ISSUED BUT NOT ACCEPTED BY THE CUSTOMER.

Additional Manufacturer Narrative · 1

PER ADDITIONAL INFORMATION RECEIVED, THERE WAS NO OVER DELIVERY OF POSITIVE END EXPIRATORY PRESSURE (PEEP). THERE WAS HIGHER PEEP THAN EXPECTED, BUT NOT TO A REPORTABLE LEVEL. IF THERE IS AN INCREASE IN PEEP IN THE CIRCUIT, IT WILL BE DISPLAYED ON THE PRESSURE GAUGE AND ALSO VENTILATOR DISPLAY. THE SYSTEM IS DESIGNED TO ALARM, BASED ON USER SET PARAMETERS. THIS MALFUNCTION DID NOT RESULT IN A DEATH OR SERIOUS INJURY NOR WAS MEDICAL INTERVENTION REQUIRED. THIS EVENT IS NOT REPORTABLE.

Additional Manufacturer Narrative · 1

THE INITIAL REPORTER IS LOCATED OUTSIDE THE U.S., AND THEREFORE THIS INFORMATION IS NOT PROVIDED DUE TO COUNTRY PRIVACY LAWS. GE HEALTHCARE¿S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN.

Description of Event or Problem · 1

THE HOSPITAL REPORTED HAVING PROBLEMS WITH THE POSITIVE END EXPIRATORY PRESSURE PERIMETERS. POSSIBLE OVER DELIVERY OF POSITIVE END EXPIRATORY PRESSURE. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
793496 AESPIRE 7100 ANESTHESIA GAS MACHINE BSZ DATEX-OHMEDA, INC.

Patients

Seq Age Sex Outcome Treatment
1