CONCORD MANUFACTURING LIBERTY SELECT CYCLER ASSY(NON-VALUATED); SYSTEM, PERITONEAL, AUTOMATIC DELIVERY
|
Back to Search Results |
|
Model Number 180343 |
Device Problem
Thermal Decomposition of Device (1071)
|
Patient Problem
No Known Impact Or Consequence To Patient (2692)
|
Event Date 05/07/2020 |
Event Type
malfunction
|
Manufacturer Narrative
|
Plant investigation: the actual device was returned to the manufacturer for physical evaluation.An exterior visual inspection of the returned cycler showed no signs of physical damage.The cycler touch screen test failed.When powering on the cycler, the ok, stop and up/down arrow push buttons did not illuminate, however the front panel touch screen remained blank.It was identified that the cause for the blank screen was due to an internal short present transformer (t1) on the inverter board.A known good inverter board was installed and the display became fully operational.An internal visual inspection of the returned cycler encountered no other discrepancies.A review of the device manufacturing records was conducted by the manufacturer.There were no deviations or non-conformances during the manufacturing process.In addition, a device history record (dhr) review was performed and verified that the results of the in-progress and final quality control (qc) testing met all requirements.Upon completion of the evaluation, the reported issue was confirmed and the cause was determined to be an internal short on transformer on the inverter board.The cycler was refurbished following the evaluation.
|
|
Event Description
|
It was reported that the screen of a liberty select cycler went blank during step 8 of the patient's peritoneal dialysis (pd) end treatment.The peritoneal dialysis registered nurse (pdrn) reported that a burning smell was noticed after the blank screen occurred.The ok and stop keys and touch screen were pressed, however the screen remained blank.The ok and stop keys made sounds when pressed.The pdrn stated that the burning smell was coming from the back of the cycler near the power cord.The power cord was connected directly into a shared 3-prong outlet, which was shared by a recliner chair.At that point in time, the technical support representative advised the pdrn to discontinue use of the cycler.A replacement cycler was issued to the patient.Upon follow up, the pdrn confirmed that there were no adverse events or medical intervention required as a result of the reported event.The patient did complete treatment on another cycler.The cycler was returned to the manufacturer and a replacement cycler was provided and received.The pdrn stated that they did not see any fire, flames, smoke, or sparks coming from the cycler.Upon physical evaluation of the cycler by the manufacturer, evidence of an internal short on the transformer on the inverter board was identified.
|
|
Search Alerts/Recalls
|
|
|