Siemens has completed an investigation of the reported event.The root cause of the error described in the complaint was determined to be a damaged connector of the micropod (etco2 module).The micropod has been exchanged by the local service organization.The error has not reoccurred since the micropod exchange.The user stated the micropod connector was pulled out of the hemo integrated signal input box (hisib), and the pins became bent when the user tried to plug the connector back in.The user was able to provide pictures which confirmed this statement.Log files froom the sensi vibe hemo system shows the user attempted to re-insert the pins into the connector multiple times to resolve the issue, but the connector was not secure and continued to fall apart.During one of these re-connection attempts, the pins became damaged and bent.In the case given, the user was able to continue the exam.But in general, if the connector comes apart and the pins are misaligned from their correct positions, e.G.By turning the inlet of the plug with its pins around, it might be possible that the hisib is unable to communicate with the device master control (dmc) and no patient vital signs can be displayed.In this state and only service intervention will solve the issue, which will cause a long term delay.Note: the possible hazardous situations "long term delay in the clinical procedure" or "interruption of the clinical procedure" can only occur if all 3 contributing factors (pulling the plug, damaging it and wrong re-insertion) are occurring.A customer safety advisory notice (csan) is planned to be released.
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