FDA Adverse Event Malfunction Summary report: N

VOYAGER TRANSPORT INCUBATOR

MDR report key: 8183858 · Received December 20, 2018

Report

Report Number
8183858
Event Type
Malfunction
Date Received
December 20, 2018
Date of Event
December 6, 2018
Report Date
December 18, 2018
Manufacturer
INTERNATIONAL BIOMEDICAL, LTD.
Product Code
FPL
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

NEONATAL TRANSPORT ISOLETTE/OXYGEN DELIVERY-BLENDER DEVICE FAILED DURING (AND PRIOR TO) NEONATAL INTENSIVE CARE UNIT (NICU) TRANSPORT. THIS CAUSED INABILITY TO BRINGING PATIENT BACK ON A LOW FIO2/LOW FLOW NASAL CANNULA, WHICH WAS CURRENT THERAPY ORDERED. HISTORY OF EVENT: BLENDER ALARM NOTED UPON INITIAL ASSESSMENT AROUND 10:00 AM-PRIOR TO LEAVING THE FACILITY ON TRANSPORT. THREE ADDITIONAL RTS EVALUATED THE BLENDER ALARM AND CAME TO THE CONCLUSION THAT BIOMED NEEDED TO BE INVOLVED. BIOMED WAS NOT IMMEDIATELY AVAILABLE, SO ENGINEERING CAME IMMEDIATELY AND THEN WAS ABLE TO INVOLVE BIOMED AFTER FURTHER ASSESSMENT. ONE OF THE AIR REGULATORS WAS FOUND TO HAVE A LARGE LEAK NO MATTER WHAT TROUBLESHOOTING WAS COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1024428 VOYAGER TRANSPORT INCUBATOR INCUBATOR, NEONATAL TRANSPORT FPL INTERNATIONAL BIOMEDICAL, LTD.

Patients

Seq Age Sex Outcome Treatment
1