Catalog Number MK06000 |
Device Problems
Loss of Power (1475); Device Displays Incorrect Message (2591)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 03/20/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The investigation has just started; results will be provided in our follow-up report.
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Event Description
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It was reported that the device switched off during use and it was not possible to turn it on again.It was further reported that the device went out but the alarm ¿no fresh gas delivery¿ was displayed.There was no patient injury reported.
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Event Description
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Please refer to initial mfr report no.9611500-2019-00203.
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Manufacturer Narrative
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The dispatched field service engineer determined that the sensor that monitors the central gas supply pressure was faulty.After its replacement the device was tested against full set of specifications and did not exhibit any further nonconformity.The finding of the on-site examination matches the description of the user.When the pressure sensor for the central gas supply fails the device alerts the user by means of the fresh gas delivery failure alarm that was reportedly observed.Furthermore, the graphical user interface will be covered by a message stating that gas delivery is stopped and that ventilation is still available.The virtual flow tubes are covered by a message explaining how to establish alternative fresh gas dosage using the safety o2 mechanism (switch from aux o2 to add o2 and open the valve).By following these steps the procedure can be continued with pure o2 fresh gas supply.Dräger finally concludes that the device behaved as specified upon the malfunction of a single component.The user is being guided on the necessary steps how to continue the ventilation with a hand-adjusted safety flow of oxygen.
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Search Alerts/Recalls
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