FDA Adverse Event
Injury
Summary report: N
ARKON
MDR report key: 7613509
·
Received June 18, 2018
Report
- Report Number
- MW5077931
- Event Type
- Injury
- Date Received
- June 18, 2018
- Date of Event
- June 4, 2018
- Report Date
- June 14, 2018
- Manufacturer
- SPACELAB HEALTHCARE INC.
- Product Code
- BSZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ANESTHESIA MACHINE STOPPED WORKING IN MIDDLE OF CASE IN OPERATING ROOM. EVIDENTLY THIS IS A KNOWN PROBLEM WITH THIS MACHINE PER SPACELABS WITH NO KNOWN FIX. THEIR INVESTIGATION HAS PRODUCED NO ROOT CAUSE ALTHOUGH IT IS HAPPENING ALL OVER THE NATION. THERE IS A "FIX" PLANNED SOON WITH NO GUARANTEES OF SUCCESS. THEY HAVE PROVIDED US WITH A "WORKAROUND" WHEN IT OCCURS WHICH IN THE CURRENT USERS GUIDE. WE HAVE THIS GUIDE POSTED IN ALL OPERATING ROOMS THAT CURRENTLY USE THIS PRODUCT. OUR MEETING WITH SPACELAB'S VICE PRESIDENTS TODAY AT OUR FACILITY LED US TO THE DECISION TO REPLACE THESE MACHINES WITH A MACHINE FROM ANOTHER MANUFACTURER. SPACELAB INFORMED ME THAT THEY HAVE SELF REPORTED THIS ISSUE WITH THE FDA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 451504 | ARKON | ANESTHESIA MACHINE | BSZ | SPACELAB HEALTHCARE INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Required Intervention |