FDA Adverse Event Malfunction Summary report: N

8010042-2018-00601

MDR report key: 8055594 · Received November 9, 2018

Report

Report Number
8010042-2018-00601
Event Type
Malfunction
Date Received
November 9, 2018
Date of Event
October 31, 2018
Report Date
December 5, 2018
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY
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 VENTILATOR WAS NOT INVESTIGATED BY OUR FIELD SERVICE ENGINEER SINCE A THIRD PARTY SERVICE PROVIDER PERFORMS REPAIR AND SERVICE AT THE USER FACILITY. NO INFORMATION ABOUT ANY REPLACED PARTS OR CURRENT STATUS OF THE COMPRESSOR HAS BEEN PROVIDED. BASED ON PRIOR INVESTIGATIONS, THE MOST PROBABLE CAUSE OF THIS FAILURE IS A LEAKAGE IN THE STANDBY VALVE RESULTING IN WRONG PRESSURE MEASUREMENT. THE STANDBY VALVE SHALL PUT THE COMPRESSOR IN STANDBY WHEN WALL AIR IS CONNECTED AND SHALL START TO SUPPLY COMPRESSED AIR WHEN NO WALL AIR IS CONNECTED. HOWEVER, THE TRUE ROOT CAUSE CANNOT BE DETERMINED WITHOUT FURTHER INFORMATION AND INVESTIGATION OF THE STANDBY VALVE. 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 THE COMPRESSOR MOTOR WAS MAKING NOISE AND GOING INTO STANDBY. THERE WAS NO PATIENT INVOLVEMENT. (B)(4).

Description of Event or Problem · 0

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

Patients

Seq Age Sex Outcome Treatment
1