inforMED
MalfunctionCBL

SODASORB

Received Aug 12, 2010 · Event occurred Aug 4, 2010

Report 1822960 · MDR key 1822960

Device

Generic name

Absorbent, Carbon-dioxide

Model number

LF

Catalog number

UNKNOWN

Lot number

UNK

Product problems

  • Manufacturing, Packaging or Shipping Problem

Patient

44 YR

  • No Information

Narrative

Description of Event or Problem

DEFECTIVE SODA-LIME CANNISTER ISSUE. RECEIVED CALL FROM ANESTHESIA TECH. SHE SAID THE ANESTHESIOLOGIST WAS NOT ABLE TO VENTILATE THE PATIENT IN OR AND THEY HAD TO SWITCH OUT THE ANESTHESIA MACHINE WITH ONE FROM ANOTHER OR. I CHECKED THE MACHINE AND FOUND ONE OF THE SODA-LIME PACKS TO BE THE PROBLEM, IT DID NOT HAVE ANY HOLES IN THE BOTTOM OF IF TO ALLOW FLOW THROUGH IT. AESTIVA ANESTHESIA MACHINE.HEALTH PROFESSIONAL'S IMPRESSION:VISUALLY SEE THE HOLES INTENDED TO BE ON THE BOTTOM OF THE FILTER HAD NOT BEEN CUT OUT OF THE PLASTIC. MANUFACTURING FLAW.