inforMED
MalfunctionCBL

MEDISORB EF MULTI-ABSORBER, DISPOSABLE

Received Jun 3, 2021 · Event occurred May 7, 2021

Report 3002807637-2021-00016 · MDR key 11934724

Device

Generic name

Absorbent, Carbon-dioxide

Manufacturer

Vyaire Medical

Catalog number

M1173311

Product problems

  • Leak/Splash
  • Leak/Splash

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

AT THIS TIME, THE SUSPECT DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. NO ROOT CAUSE HAS BEEN DETERMINED YET. VYAIRE MEDICAL WILL SUBMIT A SUPPLEMENTAL REPORT IN ACCORDANCE WITH 21 CFR SECTION 803.56 IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE MEDISORB¿ EF MULTI-ABSORBER, DISPOSABLE EXPERIENCED NOT REACHING TARGET VOLUME DURING MECHANICAL VENTILATION DUE TO CRACK THAT CAUSES LEAK OF 10 LPM. THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT HARM ASSOCIATED WITH THE REPORTED EVENT.