Model Number MK06000 |
Device Problems
Failure to Deliver (2338); Computer System Security Problem (2899); Inappropriate or Unexpected Reset (2959)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/21/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The investigation has just started; results will be provided in a follow-up report.
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Event Description
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It was reported that the ventilator failed during use.There was no patient injury reported.
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Manufacturer Narrative
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Based on the logfile analysis, an already known vulnerability of the perseus medibus interface was determined to be the root cause of the reboot.The reboot was obviously caused by large medibus incompatible data packages leading to a processor overload and finally to a reboot.Only sw versions 2.0n are affected by the identified medibus vulnerability.The reboot results in a short-term outage of therapy functions for not more than 15 seconds accompanied by a corresponding alarm, before the therapy is resumed with the last valid settings.The software sub module for the medibus interface has already been improved and will be distributed as part of the new perseus software release 2.03.The distribution of the sw2.03 will be carried out with a field safety corrective action.All customers of draeger perseus a500 anesthesia machines equipped with sw2.0n were informed with a field safety notice in june 2020 about the identified risk.All devices equipped with the affected sw versions 2.0n will be upgraded to sw2.03.For this case, the update to sw2.03 was discussed with the customer to be performed within the next weeks in the course of the planned maintenance.
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Event Description
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It was reported that the ventilator failed during use.There was no patient injury reported.
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Event Description
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It was reported that the ventilator failed during use.There was no patient injury reported.
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Manufacturer Narrative
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Due to a technical issue with our internal emdr system we submitted for the form fda 3500a an incorrect value for the field h3.Not returned to manufacturer.
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Search Alerts/Recalls
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