inforMED
InjuryBTM

ANES CIRCUIT, ADULT, 108 IN EXP, 3L BAG

Received Jul 13, 2020 · Event occurred Jun 16, 2020

Report 8030673-2020-00103 · MDR key 10268596

Device

Generic name

Ventilator, Emergency, Manual (resuscitator)

Catalog number

ADU520X4D

Lot number

0004143192

Product problems

  • Defective Component
  • Defective Component

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

RESULT OF INVESTIGATION: ONE OPENED SAMPLE OF THE P/N ADU520X4D WITHOUT LOT NUMBER WAS RECEIVED FOR THE INVESTIGATION. ACCORDING TO INVESTIGATION, WE DETERMINED THAT PERSONNEL ARE RELATED WITH DEFECT REPORTED, SINCE THEY DID NOT FOLLOW THE PROCESS TO PERFORM CHANGE PROPER THE MEDIA ROLL. ALSO PROCESS IS RELATED WITH DEFECT REPORTED, SINCE IT IS NOT VERY CLEAR TO PERFORM THE CHANGE OF THE ROLL PLUSH.

Additional Manufacturer Narrative

AS OF THIS TIME, HAS BEEN SHIPPED FOR INVESTIGATION. HOWEVER, THE CUSTOMER CONFIRMED THAT THE SAMPLE IS AVAILABLE. AS AN INTERVENTION, AN AMBU BAG WAS REQUIRED TO BE USED UNTIL IT WAS REPLACED WITH A NEW CIRCUIT. ANY ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER WILL BE INCLUDED IN A FOLLOW-UP REPORT.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE ADU520X4D VITAL SIGNS ADULT ANESTHESIA BREATHING CIRCUIT EXPERIENCED CIRCUIT MALFUNCTION DUE TO PLASTIC PIECE COVERING THE AIR EXCHANGE CIRCUIT FILTER DURING USE. THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT HARM ASSOCIATED WITH THIS REPORTED EVENT. AS AN INTERVENTION, A MANUAL VENTILATION WAS REQUIRED TO BE USED UNTIL IT WAS REPLACED WITH A NEW CIRCUIT.