inforMED
MalfunctionIOY

SUPPORT ARM 177

Received May 9, 2023 · Event occurred May 2, 2023

Report 8010042-2023-00892 · MDR key 16894703

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

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE VENTILATOR'S SUPPORT ARM 177 WAS BROKEN. IDENTIFICATION OF ISSUE HAS BEEN DONE BY ANALYZING PROBLEM DESCRIPTION, SERVICE REPORT, COMMUNICATION WITH FIELD SERVICE ENGINEER (FSE) AND PROVIDED PICTURE. BASED ON TECHNICIAN STATEMENT IT WAS CONCLUDED THAT THE SUPPORT ARM WAS BROKEN AT THE JOINT NEAREST THE BRACKET. THE SUPPORT ARM HAS BEEN REPLACED TO RESOLVE THE ISSUE. THE ISSUE WAS DECIDED TO BE REPORTED AS THE BROKEN/DAMAGED SUPPORT ARM MAY LEAD TO STOP OF VENTILATION (EXTUBATING) OR INJURY. THERE WAS NO PATIENT HARM. THE ROOT CAUSE TO THE REPORTED ISSUE HAS NOT BEEN DETERMINED. THE CORRECTION OF FIELD G4 DATE RECEIVED BY MANUFACTURER WAS REQUIRED. THIS IS BASED ON THE INTERNAL EVALUATION. PREVIOUS DATE RECEIVED BY MANUFACTURER: 05/02/2023. CORRECTED DATE RECEIVED BY MANUFACTURER: 04/26/2023.

Description of Event or Problem

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

Description of Event or Problem

IT WAS REPORTED THAT THE VENTILATOR'S SUPPORT ARM 177 WAS BROKEN. THERE WAS NO PATIENT HARM REPORTED. MANUFACTURER'S REF. #: (B)(4).