inforMED
MalfunctionIOY

SUPPORT ARM 177

Received Dec 30, 2022 · Event occurred Dec 6, 2022

Report 8010042-2022-02352 · MDR key 16079353

Device

Generic name

Support, Arm

Model number

SUPPORT ARM 177

Catalog number

6481720

Product problems

  • Fracture
  • Fracture

Patient

Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SUPPORT ARM HOLDING THE PATIENT CIRCUIT BROKE. THERE WAS NO PATIENT HARM REPORTED. MANUFACTURER'S REF #: (B)(4).

Additional Manufacturer Narrative

IT WAS CLAIMED THAT THE SUPPORT ARM HOLDING THE PATIENT CIRCUIT BROKE. IDENTIFICATION OF ISSUE HAS BEEN DONE BY ANALYZING PROBLEM DESCRIPTION AND INFORMATION PROVIDED FROM FIELD SERVICE ENGINEER (FSE). THERE WAS NO PATIENT HARM. BASED ON TECHNICIAN STATEMENT, DURING PREVENTIVE MAINTENANCE VISIT THE SUPPORT ARM WAS NOT BROKEN. THE ACCESSORIES WAS MISSING FROM THE VENTILATOR. THE PART MUST BE PURCHASED TO RESOLVE THE ISSUE. THE COMPLAINT WAS DECIDED TO BE REPORTED BASED ON AVAILABLE INFORMATION (NO INFORMATION ABOUT WHY SUPPORT ARM NEEDS TO BE REPLACED), AS THE INITIAL DESCRIPTION MIGHT HAVE UNDERLYING CAUSES WHICH REPRESENT A REPORTABLE EVENT. IN THE FURTHER PROCESS OF COMPLAINT HANDLING THE ISSUE WAS RELATED TO MISSING SUPPORT ARM. THIS ISSUE WILL NOT AFFECT ONGOING VENTILATION. IT REMAINS UNKNOW WHY THE PART WAS MISSING. THE ROOT CAUSE TO THE REPORTED ISSUE HAS NOT BEEN DETERMINED.

Description of Event or Problem

MANUFACTURER'S REF #: (B)(4).