FDA Adverse Event Malfunction Summary report: N

8010042-2018-00542

MDR report key: 7961747 · Received October 12, 2018

Report

Report Number
8010042-2018-00542
Event Type
Malfunction
Date Received
October 12, 2018
Date of Event
September 19, 2018
Report Date
October 25, 2018
PMA / PMN Number
K123149
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF MAQUET CRITICAL CARE AB (MANUFACTURER). REF. EXEMPTION #: E2018003. GETINGE USA SALES, LLC 45 BARBOUR POND DRIVE WAYNE, NJ 07470. CONTACT PERSON: (B)(4).

Additional Manufacturer Narrative · 0

THE INVESTIGATION OF THE RETURNED EXPIRATORY CHANNEL PC BOARD HAS BEEN COMPLETED. THIS BOARD CONTAINS ELECTRONICS WHICH INCLUDE MICROPROCESSOR FOR HANDLING OF THE MEASUREMENT OF EXPIRATORY FLOW. SOME OF THE OTHER FUNCTIONS OF THE BOARD ARE THE MEASUREMENT OF AIRWAY PRESSURE IN BOTH INSPIRATORY AND EXPIRATORY SECTION, CONTROL OF THE SAFETY VALVE FUNCTIONS IN THE INSPIRATORY SECTION OF THE DEVICE AND DRIVING THE PEEP VALVE. THE PC-BOARD WAS INSTALLED IN A REFERENCE SYSTEM FOR SIMULATED USE TESTING. A TECHNICAL ALARM WAS GENERATED, INDICATING A COMMUNICATION FAULT. THE PRE-USE CHECK FAILED THE FLOW TRANSDUCER TEST. THE CONCLUSION OF THE INVESTIGATION IS THAT THE ISSUE OCCURRED, DUE TO A FAULTY CENTRAL PROCESSOR UNIT (CPU) RESPONSIBLE FOR FLOW MEASUREMENTS AND COMMUNICATIONS TO OTHER PC BOARDS IN THE VENTILATOR. NO DEVICE LOG HAS BEEN RECEIVED. GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF MAQUET CRITICAL CARE AB (MANUFACTURER). REF. EXEMPTION #: E2018003. GETINGE USA SALES, LLC (B)(4). CONTACT PERSON: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT A SPARE PART EXPIRATORY CHANNEL PRINTED CIRCUIT BOARD WAS FAULTY. THERE WAS NO PATIENT INVOLVEMENT. (B)(4).

Description of Event or Problem · 0

MANUFACTURER REF. #: (B)(4).

Patients

Seq Age Sex Outcome Treatment
1