FDA Adverse Event Malfunction Summary report: N

ADULT VENTILATOR

MDR report key: 9668 · Received August 1, 1994

Report

Report Number
9668
Event Type
Malfunction
Date Received
August 1, 1994
Manufacturer
BEAR MEDICAL
Product Code
BYT
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

DEVICE IN USE & OPERATING CORRECTLY. STAFF REPORTED EXHALED TIDAL VOLUMES IN EXCESS OF SET VOLUMES. VENT REMOVED FROM SERVICE. VENT TESTED 7/11/94, TIDAL VOLUMES 50% ABOVE SWITCH SETTING. PEAK FLOWS MEASURED AT 30% - 75% ABOVE SWITCH SETTING. REPLACED DEFECTIVE PURGE VALVE. PERFORMED CALIBRATION TESTS TO VERIFY CORRECT OPERATION. RAN VENT 24 HRS. TO BURN-IN. FULL OPERATIONAL VERIFICATION. RETURNED TO SERVICE 7/14/94.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-MAY-94. SERVICE PROVIDED BY: INDEPENDENT FACTORY TRAINED/AUTHORIZED SERVICE ORGANIZATION. SERVICE RECORDS AVAILABLE.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, PERFORMANCE TESTS PERFORMED. RESULTS OF EVALUATION: TELEMETRY FAILURE, OTHER. CONCLUSION: DEVICE FAILURE DIRECTLY CAUSED EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE REPAIRED AND PUT BACK IN SERVICE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADULT VENTILATOR BYT BEAR MEDICAL BEAR 3

Patients

Seq Age Sex Outcome Treatment
1 83 YR Other