(b)(4).The opt844 interface is used to deliver humidified oxygen to patients.The opt844 consists of a lightweight delivery tube which is connected to a rigid plastic base and soft nasal prongs (nasal interface).The interface is held in place by a head strap and also includes a lanyard which is placed around the patient's neck or attached to the patient's clothing or bedding to remove the load of the breathing circuit from the patient's nares.Method: the complaint opt844 nasal cannulae have not been returned to fisher and paykel healthcare (b)(4) for evaluation.Our investigation is based on information supplied by the customer.Result: all we were told was that the cannulae were torn at the silicone part (nasal interface).Further information was sought and a request was made for the return of the complaint cannulae, however to date we have received no response.The description of events suggests that the soft silicone part of the nasal interface had been torn apart.Previous investigations into this type of damage have shown that the most likely cause is overtightening of the headstrap while adjusting it.An excessive amount of force would be required to tear the interface.Conclusion: the subject cannulae would not have passed testing on the production line in a damaged condition.All optiflow interfaces are inspected during production for visual defects including cracks, tears, inclusions, discoloration and stretching or deformation.Any product that fails the visual inspection is disposed of.The user instructions which accompany the opt844 cannula show in pictorial format the correct placement and fitting of the cannula.
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