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According to the information provided by the technician, o2 concentration was set to 60% but during treatment was fluctuation between 22% and 39%.The device was checked on-site, the issue was not reoccurred, no malfunction was found.The device passed all performance tests and could be returned to clinical use.No parts were replaced.No further failures were reported.The device's logs were reviewed and confirm reported issue.The event log confirms several clinical alarms have been generated, as an indication of difficulties with ventilating the patient, but there are no technical error codes to indicate a ventilate malfunction.Alarms such as o2 concentration low, peep low, leakage too high, check tubing, respiratory rate high, expiratory minute volume high or expiratory minute volume low indicates a leakage in the patient circuit.Alarms will be generated when set alarm limits are exceeded, as per design to alert the operator about ongoing issues.Alarm o2 concentration low is activated when measured o2 concentration is below the set value by more than 5 volume % or concentration is below 18 volume % which is independent of settings.There are two main reasons for this alarms: gas delivery error (wrong gas concentration is delivered from the system, but the gas concentration is measured correctly) or measurement error (correct gas concentration is delivered from the system, but the gas concentration is measured incorrectly).O2 concentration low alarm may in some cases indicating that the ventilation have been insufficient due to gas delivery error, which represent a reportable event.Unfortunately, as the cause of the leakage was not found, the exact cause could not be determined.
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