inforMED
MalfunctionCBL

MEDISORB¿ MULTI-ABSORBER ORIGINAL, DISPOSABLE

Received Aug 6, 2021 · Event occurred Jul 1, 2021

Report 3002807637-2021-00022 · MDR key 12289035

Device

Generic name

Absorbent, Carbon-dioxide

Catalog number

8003138

Product problems

  • Leak/Splash
  • Leak/Splash

Patient

Unknown

  • 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¿ MULTI-ABSORBER ORIGINAL, DISPOSABLE EXPERIENCED LEAK IN THE SYSTEM WHILE CONNECTED TO ANAESTHESIA MACHINE DUE TO SMALL CRACKS OBSERVED IN CANISTERS. ADDITIONAL MEDISORB CANISTERS HAD TO BE LOCATED. THE CUSTOMER CONFIRMED THAT THERE WAS NO PATIENT HARM ASSOCIATED WITH THE REPORTED EVENT.

Additional Manufacturer Narrative

RESULT OF INVESTIGATION: A SAMPLE WAS RETURNED OF LOT 5120720 WHICH HAD CATASTROPHIC DAMAGE TO ONE OF THE FEET OF THE DEVICE ALLOWING MATERIAL TO FALL OUT LEAVING INVESTIGATOR UNABLE TO PERFORM A LEAK TEST AND ASCERTAIN WHERE THE ORIGINAL LEAK WAS COMING FROM. IT IS UNKNOWN WHETHER THIS HAPPENED ON ROUTE TO CUSTOMER OR ON ROUTE BACK TO INVESTIGATOR. UNABLE TO DETERMINE FAILURE DUE TO A DAMAGED RETURN SAMPLE.