Catalog Number 8606500 |
Device Problems
Gas Output Problem (1266); Failure to Deliver (2338); Protective Measures Problem (3015)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 09/27/2021 |
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 during a case that the unit alarmed for a ventilator failure.The patient was bagged and there was no injury reported.
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Event Description
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It was reported during a case that the unit alarmed for a ventilator failure.The patient was bagged and there was no injury reported.
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Manufacturer Narrative
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The ventilator failure described by the user could be reconstructed by means of the logfile analysis.No indications for a device malfunction were found.Root cause for the reported symptom was an overpressure at the patient end of the circuit leading to a pressure peak.Most likely, the unstable pressure situation was the result of a suction system being used while the patient was connected to the device and/or the patient was coughing against the ventilator.To prevent from damages, the system is designed to shut down automatic ventilation and to alert the user to this condition by means of a corresponding alarm.Manual ventilation and the monitoring functions remain available to the full extent.Dräger finally concludes that the device responded as specified upon the detected situation with an autonomous shutdown while changing mode to man/spont (safety mode) accompanied by an audible and visible "ventilator fail" alarm.Even though no indications for a faulty piston motor were found, the motor was replaced as a precautionary measure by the draeger technician in follow-up to the event.The device was tested and returned to use with no further problems reported.The number of similar cases, related to the same root cause, is within the expected range of the respective risk assessment and thus accepted.
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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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Event Description
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It was reported during a case that the unit alarmed for a ventilator failure.The patient was bagged and there was no injury reported.
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Search Alerts/Recalls
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