The event occurred in china.It was reported that the rotaflow console suddenly shut down during treatment.A battery problem was suspected.The device was replaced with another one without consequences for the patient.No harm to any person has been reported.As confirmed by getinge ssu (sales and service unit) dated on (b)(6) 2024 the hospital has outsourced the repair of the devices to third-party maintenance companies and has no service contract with getinge.Therefore no service will be performed on this device.The getinge field service technician (fst) has contacted the customer who explained that the machine is constantly in observation and did not have further failures after the event.In communication with the fst, a possible root cause for the failure is that the machine´s battery was previously replaced by a non-original battery.The hospital was informed by the ssu about the risks and responsibilities involving the use of non-genuine batteries.The hospital is unwilling to provide more information.Based on the investigation results the reported failure could be confirmed and the the root cause could be determined as the lifetime of the battery was passed and the replacement was overdue.The review of the non-conformities was performed on (b)(6) 2024 and during the period of (b)(6) 2020 to (b)(6) 2024 does not show any non-conformity in regard to the reported product and failure.There is no indication that manufacturing issues occurred during this time, thus production related influences are unlikely.The rotaflow console with s/n: (b)(6) was produced in (b)(6) 2020.In order to avoid reoccurrence of the reported failure, the customer will be informed by the getinge sales and service unit (ssu) to follow the chapter in the instruction for use heart-lung support system rotaflow system| 4.4 | en | v15.Chapter 3.3.4.Check battery capacity every 6 months, at the latest.The battery must be replaced by the authorized technical service every 2 years, at the latest.The battery must be replaced sooner if it cannot be fully charged within 8.5 hours or if the system cannot be operated with the fully charged battery.Chapter 5.6.1.Before starting the application, check the points listed in "check before every use".Before each use, ensure that the batteries are fully charged.If the battery capacity is low an acoustic signal sounds on the device.Chapter 2.2.3.To ensure patient safety, only use tested and approved devices, parts, accessories and disposables.The customer will be informed about the results by the getinge sales and service unit.The occurrence rate was calculated for the reported issue and it was determined that this is not a systemic issue.Therefore, no remedial action is required.The occurrence rate related to the reported issue is currently being monitored as part of maquet cardiopulmonary¿ s trending program and additional investigations or corrections will be implemented in case of adverse trending.
|