It was reported that the all the ice of the hcu 30 melted and the temperature of the circulating water could not be lowered.The failure occurred during surgery.Before surgery the ice inside of the tank was checked and found that the ice had formed normally at that time.The surgery was continued by replacing the unit with another heater cooler unit.No harm to any person has been reported.The device was inspected by a getinge field service technician and the failure could not be reproduced.The device was working as intended.The customer confirmed that the affected hcu 30 is to be disposed of and is therefore no longer in clinical use.The hcu 30 has been phased out since the end of 2010.The technical support, in-house repairs, as well as spare parts supplies have been discontinued in 2017.However, according to the hcu 30 service manual (hcu 30 | service manual | english | 07| hcu 30 | 9 troubleshooting | 110) if the ice melts, a possible cause of the failure is a shunt valve that does not close properly.The review of the non-conformities has been performed on 2022-04-08 for the period of 2009-12-22 to 2022-02-22.It does not show any non-conformity in regard to the reported product and failure.There is no indication that manufacturing issues occurred during this time, thus production related influences are unlikely to have contributed to the reported failure.The product in question was produced in 2009-12-22.The occurrence rate related to the reported issue is currently being monitored as part of maquet cardiopulmonary¿ s trending program and additional investigations or corrections will be implemented in case of adverse trending.The occurrence rate was calculated for the reported issue and it was determined that this is not a systemic issue.Therefore, no remedial action is required.
|