SMITHS MEDICAL INTERNATIONAL, LTD. PORTEX ANESTHESIA BREATHING CIRCUIT; CIRCUIT, BREATHING (W CONNECTOR, ADAPTOR, Y PIECE)
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Catalog Number CA1300/4K2/000JP |
Device Problems
Leak/Splash (1354); Gas/Air Leak (2946)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 03/01/2023 |
Event Type
malfunction
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Event Description
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It was reported that leakage of air from the breathing bag was observed.No patient injury was reported.
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Manufacturer Narrative
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Other, other text: b3: month and year of event have been provided, day is unknown.D4: expiration date, udi number and h4: manufacture date are unknown, no information is available based on reported lot number.G5: 510k is blank, device is exempt.Investigation including root cause analysis is in progress.A supplemental mdr will be filed as necessary in accordance with 21 cfr 803.56 when required.
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Manufacturer Narrative
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Other, other text: d10: device available for evaluation and h6 conclusion codes: updated device evaluation: a review of the device history record (dhr) shows there were no observations recorded during manufacture to suggest an issue of this nature would occur with this lot of products.One device was returned for investigation, visual inspection noted the breathing bag had a hole in the center.The complaint was confirmed, the pinhole in the bag caused the leak.Judging from the shape, the hole at the tip is considered not to be a damaged hole but to be caused by molding.Therefore, it is considered that pinhole occurred before being supplied to smith's manufacturing facilities.The sample will be sent to another investigation site for more detailed investigation and further root cause analysis.
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Manufacturer Narrative
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Device evaluated by manufacturer and h6.Evaluation codes: updated.Two samples were received in use condition without original packaging.Visual inspection showed perforations on both devices.A leak test was performed in which both devices failed.The reported complaint is confirmed.Based on the analysis conducted, the leak was generated by a small hole in both bags, the most probable cause of this condition is improper handling of the product outside of the manufacturing facility.A device history record (dhr) review was not conducted due to the improper handling of the product outside of the manufacturing facility.No corrective actions are being taken at this time.
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