It was reported that the water temperature had been stable around 36.
1c during normothermia therapy on the arctic sun device, but then suddenly spiked to 41.
6c.
The water temperature then went back down, so they changed devices.
The second device did the same thing.
There was a foley probe in use.
Per troubleshooting with ms&s, the nurse denied there being any alerts/alarms but was not in the room at the time to look at the event log.
Ms&s suggested troubleshooting the foley probe if the temperature becomes erratic again.
They had changed the pads previously that day to size medium.
The pads were too small, so a universal pad was added.
Ms&s explained this should not cause a sudden change in water temperature.
Per additional information received via phone on (b)(6) 2019 with the biomed technician, the first device was received in biomed where it was ran for several hours with a temp probe and pads.
He stated that he also placed the device in manual mode to confirm functionality and found no issues with the device.
The temperatures did not read erratic during his evaluation.
|