The responsible dräger service engineer could confirm the reported issue during on-site checking and trace it back to the ventilator motor.The entire motor assembly was replaced, consequently.Unfortunately, neither the replaced parts nor the logfile were available for in-depth investigation.According to the reported error code 14.1499, the device forced a shutdown of automatic ventilation due to a detected wrong motor position.The motor speed is monitored continuously; speed fluctuations caused e.G.By an abraded collector disc will result in a deviation between measured and expected piston position.To prevent from damages, the system is designed to shut down automatic ventilation and to alert the user by means of a corresponding alarm.Manual ventilation and the monitoring functions remain available to the full extent.Dräger finally concludes based on the investigation, that the device behaved as specified upon the malfunction of a single component; no patient consequences have been reported.The repair exchange of the motor unit has fully solved the device problem.The number of similar cases is within the expected range of the respective risk assessment and thus accepted.
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