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The ventilator was inspected on site by a third-party field service engineer (fse).The reported failure of the pressure transducer test during the pre-use check could be reproduced.The turbine module was identified as defective, and the fse resolved the issue by replacing it.Following the replacement, the ventilator then passed all functional and safety tests and was released for clinical use.The received logs confirmed the reported issue on date of the event.The defective part was discarded by the customer and not returned for further investigation.The turbine generates a controlled airflow from the ambient air.The turbine is powered by a motor driver controlled by the blower module.A faulty turbine module turbine module may lead to a stop of air supply during ventilation.When this error occur, the device will automatically switch to 100% o2 supply.If no o2 is available, the issue may lead to stop of ventilation.If present, the fault will be detected during pre-use check.The cause of the reported turbine issue has been determined.Further investigation performed by our contract manufacturer concluded that the cause was related to a faulty gluing procedure.This failure mode was traced back to turbine motors produced during mid 2020 and was caused by the high production rate due to the increased demand for ventilators for covid-19 treatment.The coil segments outer diameter relaxes over time after forming, but coils used during the summer of 2020 were assembled within a few days after production and had little time to relax.This lead to a larger gap when mounted together and a lower adhesion force, and further to slight back-and-forth movements of the coil segment during use with broken windings as a result.The production process of the turbine has been revised to ensure that this will not happen again.The improved turbine has been implemented in the production line of new servo-air devices and as spare part.The turbine involved in this complaint was manufactured before the improved turbine was implemented.
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