Model Number 50000000E |
Device Problem
Overheating of Device (1437)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/01/2023 |
Event Type
malfunction
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Manufacturer Narrative
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The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.
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Event Description
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It was reported that the user replaced the circulation pump, and the arctic sun device was still failing calibration for low flow.It seemed clear that there was a problem with the installation of the pump, but it was difficult to determine root cause over the phone.Mss suggested in bringing the device back for an assessment to determine the cause of the low flow.Per sample evaluation results received on 01feb2023, confirmed flow failure during prewarm flow check during a calibration test unit calibration check.The root cause of the reported issue was due to zero flow through the bypass needle due to the needle being turned all the way clockwise cutting off bypass flow and need adjustment when installed.Properly adjusted manifold bypass flow screw.This needle was never turned out to allow bypass flow.The pinched pressure transducer wire shown in notes was also an indication that the manifold was replaced as the wire was run incorrectly in the frame damaging the wires.There were signs of electrical overstress on the hot side connector between the power inlet module and the main ac voltage circuit card.Double bend tube and chiller evaporator outlet tube were found expanded during servicing.
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Event Description
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It was reported that the user replaced the circulation pump, and the arctic sun device was still failing calibration for low flow.It seemed clear that there was a problem with the installation of the pump, but it was difficult to determine root cause over the phone.Mss suggested in bringing the device back for an assessment to determine the cause of the low flow.Per sample evaluation results received on 01feb2023, confirmed flow failure during prewarm flow check during a calibration test unit calibration check.The root cause of the reported issue was due to zero flow through the bypass needle due to the needle being turned all the way clockwise cutting off bypass flow and need adjustment when installed.Properly adjusted manifold bypass flow screw.This needle was never turned out to allow bypass flow.The pinched pressure transducer wire shown in notes was also an indication that the manifold was replaced as the wire was run incorrectly in the frame damaging the wires.There were signs of electrical overstress on the hot side connector between the power inlet module and the main ac voltage circuit card.Double bend tube and chiller evaporator outlet tube were found expanded during servicing.
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Manufacturer Narrative
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The reported issue was confirmed.It was concluded that the following was the root cause: supplier ¿ root cause: inadequate verification and validation activities of the crimping process; single pull test did not provide stability of process; evidence was not provided when requested for maintenance of records or crimp tools; no crimp cross-sections provided.A device history record review was not required.Labeling review was not required because labeling could not have prevented this issue.H11: section a through f - the information provided by bard represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bard.H3 other text: the actual/suspected device was inspected.
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Search Alerts/Recalls
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