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| Catalog Number |
AS-IFS1 |
| Medical Device Problem Code |
Mechanical Problem (1384)
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| Health Effect - Clinical Code |
Burn(s) (1757)
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| Date of Event |
01/14/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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The sales representative reported on behalf of the customer that the device, as-ifs1, airseal ifs, 120v, was being used during an unknown procedure on (b)(6) 2026 when it was reported, "airseal dumped pressure after "venting valve error" message, resulting in an instrument burn of the aorta".Further assessment was requested from the reporter; however, to date, no answers have been received.There was no report of medical intervention or hospitalization of the patient.This report is being raised due to the reported injury of burn to aorta due to loss of pressure.
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Additional Manufacturer Narrative
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The device is not expected to be returned for evaluation and review.However, the complaint investigation is not complete at this time.A supplemental and final report will be filed following the completion of the complaint investigation.We will continue to monitor per regulatory requirements to help ensure patient safety.
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Event or Problem Description
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The sales representative reported on behalf of the customer that the device, as-ifs1, airseal ifs, 120v, was being used during an unknown procedure on (b)(6) 2026 when it was reported, ¿airseal dumped pressure after "venting valve error" message, resulting in an instrument burn of the aorta.¿.Further assessment was requested from the reporter; however, to date, no answers have been received.There was no report of medical intervention or hospitalization of the patient.This report is being raised due to the reported injury of burn to aorta due to loss of pressure.
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Additional Manufacturer Narrative
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Neither the device nor photographic evidence was provided.Therefore, the reported event can not be verified.The service history review cannot be conducted as a serial number was not provided.A device history review (dhr) cannot be conducted as a serial number was not provided.A two-year review of complaint history revealed there has been a total of two complaints, regarding two devices, for this device family and failure mode.During this same time frame (b)(4) devices have been manufactured and shipped worldwide.Should all the complaint devices have been found confirmed for this reported failure, the rate of failure would be (b)(4).Per the instructions for use, the user is advised that < 5 bar/73 psi; if insufflation is started, the warning message ¿change gas bottle!¿ is displayed and acoustic signals (beeps) are emitted.The gas bottle should be changed immediately.If insufflation is stopped, the warning message ¿change gas bottle!¿ is displayed and insufflation cannot be restarted.Smoke evacuation level will switch to low until tank is replaced.While in airseal mode, a countdown of 100 s is displayed during which the empty gas bottle can be changed while maintaining abdominal pressure insert obturator in airseal cannula to maintain pressure with normal insufflation.Change the tube set to finish the procedure.Avoid device overheating.Ensure free air circulation especially to the bottom and rear of the device.We will continue to monitor per regulatory requirements to help ensure patient safety.
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Additional Manufacturer Narrative
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Update for device return, correction to d4, d9, h2, h3, h4, h6.The device was not overdue for preventative maintenance.The device had a small leak at the high-pressure valve, valve block needed to be replaced and the compressor needed to be refurbished.Additionally, the angel connector was also found to be leaking, requiring replacement.A root cause cannot be determined; however, based on the evaluation of the device the likely cause of this event was an air leak resulting in the loss of cavity pressure.The service history was reviewed, and no prior data was found.A device history review (dhr) was requested from the manufacturer, and no indication of abnormalities was communicated.A two-year review of complaint history revealed there has been a total of two complaints, regarding two devices, for this device family and failure mode.During this same time frame (b)(4) devices have been manufactured and shipped worldwide.Should all the complaint devices have been found confirmed for this reported failure, the rate of failure would be (b)(4).Per the instructions for use, the user is advised that < 5 bar/73 psi; if insufflation is started, the warning message ¿change gas bottle!¿ is displayed and acoustic signals (beeps) are emitted.The gas bottle should be changed immediately.If insufflation is stopped, the warning message ¿change gas bottle!¿ is displayed and insufflation cannot be restarted.Smoke evacuation level will switch to low until tank is replaced.While in airseal mode, a countdown of 100 s is displayed during which the empty gas bottle can be changed while maintaining abdominal pressure insert obturator in airseal cannula to maintain pressure with normal insufflation.Change the tube set to finish the procedure.Avoid device overheating.Ensure free air circulation especially to the bottom and rear of the device.We will continue to monitor per regulatory requirements to help ensure patient safety.
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Event or Problem Description
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The sales representative reported on behalf of the customer that the device, as-ifs1, airseal ifs, 120v, was being used during an unknown procedure on (b)(6) 2026 when it was reported, ¿airseal dumped pressure after "venting valve error" message, resulting in an instrument burn of the aorta.¿ further assessment was requested from the reporter; however, to date, no answers have been received.There was no report of medical intervention or hospitalization of the patient.This report is being raised due to the reported injury of burn to aorta due to loss of pressure.
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Search Alerts/Recalls
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