| Model Number |
OJR414 |
| Medical Device Problem Code |
Detachment of Device or Device Component (2907)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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(b)(6).Fisher & paykel healthcare (f&p) is currently in the process of completing our investigation.We will provide a follow up report upon completion of our investigation.
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Event or Problem Description
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A healthcare facility in lahti reported via fisher & paykel healthcare (f&p) field representative that the tubing of an ojr414 optiflow junior 2 nasal cannula detached during use.It was further reported that there are three affected units.There was no reported patient consequence.
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Additional Manufacturer Narrative
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(b)(6).Method: the subject device, ojr414 optiflow junior 2 nasal cannula was not returned to fisher & paykel healthcare (f&p), new zealand for evaluation.Our investigation is thus based on the information and photography provided by the healthcare facility and our knowledge of the product.Results: evaluation of the photography provided confirmed that one of the tubes detached from the cannula end.Conclusion: based on the evaluation of the information and photography provided by the healthcare facility, and our knowledge of the product, it is most likely that the reported event resulted from the cannula being pulled by the patient.As part of the manufacturing process, all optiflow junior cannulas are 100% leak and occlusion tested after final assembly and any cannula that fails specifications is discarded.In addition, representative samples from each batch are functionally tested to assess retention strength between the assembled components.If there are any failures the entire batch is quarantined for further investigation.The user instructions illustrate in pictorial format the correct set-up and proper use of the optiflow junior 2 nasal cannula.They also state the following: - "appropriate patient monitoring (e.G.Oxygen saturation) must be used at all times.Failure to monitor the patient (e.G.In the event of an interruption to gas flow) may result in serious harm or death)." - "ensure all connections are secure during use.Check the cannula is undamaged and that the flow path is maintained.Under excessive load, the cannula may disconnect to prevent forces being transferred to the patient." - "do not wrap, insulate, stretch or crush the tubing as this may impair the performance of this product or compromise safety (including potentially causing patient harm).
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Event or Problem Description
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A healthcare facility in lahti reported via fisher & paykel healthcare (f&p) field representative that the tubing of an ojr414 optiflow junior 2 nasal cannula detached during use.It was further reported that there are three affected units.The healthcare facility also reported that the patient has pulled on the tubing.There was no reported patient consequence.
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Search Alerts/Recalls
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