Model Number DW ARTHROSCOPY FLUID MANAGEMENT DEV |
Device Problem
Inaccurate Delivery (2339)
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Patient Problem
Swelling/ Edema (4577)
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Event Date 10/04/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
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Event Description
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It was reported that during a shoulder arthroscopy the shoulder swelled very much.There was no harm for patient, operator or third party reported.The surgery was finished successfully with the same device anyway.It was not necessary to switch the surgical technique or do a second surgery.12-oct-2021 update dw: further information was provided that during the surgery the pump delivered more fluid than expected and an ar-6420 and ar-6430 was used but then discarded.The pump setting was set to 50mmhg and no alarm/error messages occurred during use.The surgeon was able to improve the outcome by lowering the pressure to 40/45mmhg.It was further reported that the liquid was immediately removed with the use of a cannula.A clamp test was not performed.
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Manufacturer Narrative
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The complaint was not confirmed.The returned pump was visually inspected and showed no damaged to the unit.Further review of the pump sub-assembly and components showed no issues with the latch door or tubing connector.The warranty seal was broken and the tubing sets used were not returned.The pump was assembled with a new ar-6410 tubing, and then tested and evaluated under normal use conditions to see if the issue(s) reported could be reproduced.The pump was powered on and function as intended with no error message and/or audible alarm triggered.
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Search Alerts/Recalls
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