FDA Adverse Event
Malfunction
Summary report: N
SECHRIST INDUSTRIES, INC.
MDR report key: 6307045
·
Received February 7, 2017
Report
- Report Number
- 6307045
- Event Type
- Malfunction
- Date Received
- February 7, 2017
- Date of Event
- February 23, 2016
- Report Date
- December 28, 2016
- Manufacturer
- SECHRIST INDUSTRIES, INC.
- Product Code
- CBF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
NO HARM TO PATIENT. PATIENT SAFELY REMOVED FROM CHAMBER. CHAMBER#1 S/N 360196 NOT HOLDING PRESSURE AT DEPTH OF 2.4 ATA/20.58 PSIG. NO SYSTEM ALARM. ONLY NORMAL SOUNDS THAT OCCUR DURING CHAMBER OPERATION. NOTIFIED SERENA GROUP AS SOON AS DISCREPENCY DISCOVERED. MANAGER NOTIFIED. EMERGENCY CALL PLACED TO SECHRIST (B)(4). SECHRIST TO SEND SERVICE TECHNICIAN. "OUT OF ORDER" SIGN PLACED ON CHAMBER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 90071 | SECHRIST INDUSTRIES, INC. | CHAMBER, HYPERBARIC | CBF | SECHRIST INDUSTRIES, INC. | 3600ER-00 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR |