inforMED
MalfunctionCBL

MEDISORB MULTI-ABSORBER ORIGINAL, DISPOSABLE

Received May 5, 2020 · Event occurred Mar 25, 2020

Report 3002807637-2020-00005 · MDR key 10026193

Device

Generic name

Absorbent, Carbon-dioxide

Manufacturer

Vyaire Medical

Catalog number

8003138

Lot number

8881119

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE CUSTOMER REPORTED THE PRODUCT SAMPLE AND PHOTO IS AVAILABLE FOR ANALYSIS. AT THIS TIME, VYAIRE HAS NOT RECEIVED THE SUSPECT DEVICE FOR EVALUATION. ANY ADDITIONAL INFORMATION PROVIDED BY THE CUSTOMER WILL BE INCLUDED IN A FOLLOW-UP REPORT.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE MEDISORB¿ MULTIABSORBER CANISTER HAS A GAP AT THE BOTTOM WHICH LEAD TO LEAKAGE. THE EVENT OCCURRED WHILE CONNECTED TO A PATIENT HOWEVER THE CUSTOMER CONFIRMED THAT NO PATIENT HARM WAS ASSOCIATED ON THIS EVENT.

Additional Manufacturer Narrative

DEVICE EVALUATION: G4, G7, H2, H3, H6 AND H10. RESULT OF INVESTIGATION: PHOTO PROVIDED CONFIRMED THE REPORTED FAILURE. HOWEVER, INVESTIGATION REVEALED THAT ALL UNITS UNDERGO LEAK TESTING AFTER MANUFACTURE AND BEFORE PACKAGING. ANY PRODUCT FOUND TO BE LEAKING IS AUTOMATICALLY REJECTED AND DISCARDED. ALSO, DEVICE HISTORY REVIEW REVEALED NO ISSUES, AND ALL UNITS PASSED TESTING. AS SUCH, THE CRACK LEADING TO LEAKAGE IS MOST LIKELY DUE TO THE CANISTER BEING SUBJECTED TO A SIGNIFICANT FORCE AFTER THE 100% IN LINE LEAK CHECK.