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Hamilton medical ag ref.(b)(4).Hamilton medical ags conclusion: it was reported that the device generated repeated exhalation obstruction alarms during ventilation, sometimes together with high or low tidal volume alarms.The logfile shows repeated ¿exhalation obstructed¿ alarms over a long period, often occurring in rapid succession and sometimes accompanied by high or low tidal volume alarms.These events happened in different ventilation modes, which indicates that the issue was not mode-specific but related to the expiratory phase of breathing.The high frequency and persistence of the obstruction alarms strongly suggest a mechanical problem in the expiratory pathway rather than a patient-related or setting-related cause.Among the suspected causes, an occluded expiratory limb or a malfunction of the expiratory valve set, such as a sticky membrane or defective proportional valve, is most consistent with the alarm pattern.After the expiratory valve assembly was replaced, the root cause can be concluded to have been a faulty expiratory valve assembly.The defective valve likely impaired proper gas outflow, triggering continuous exhalation obstruction alarms and unstable tidal volumes.Therefore, the root cause of the malfunction was a defective expiratory valve assembly, which was successfully resolved by replacement.Case is considered closed.Udi: (b)(4).
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