inforMED
MalfunctionBTM

GIRAFFE IRS

Received Jul 24, 2024 · Event occurred Jun 25, 2024

Report 2112667-2024-03940 · MDR key 19823645

Device

Generic name

Ventilator, Emergency, Manual

Manufacturer

Datex-ohmeda, Inc.

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

A GE HEALTHCARE SERVICE REPRESENTATIVE PERFORMED A CHECKOUT OF THE SYSTEM AND CONFIRMED THE REPORTED ISSUE. THE CHECK VALVE ASSEMBLY WAS REPLACED TO RESOLVE THE ISSUE. D4 PRIMARY UDI NUMBER: NO UDI AVAILABLE AS DEVICE WAS MANUFACTURED PRIOR TO UDI COMPLIANCE DATE.

Additional Manufacturer Narrative

A GE HEALTHCARE INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. NO REPAIR INFORMATION AVAILABLE. BLOCK A: NO REPORT OF PATIENT INVOLVEMENT. LEGAL MANUFACTURER: HCS RESEARCH PARK - 9900 INNOVATION DRIVE USA WAUWATOSA, WI 53226.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A MALFUNCTION RESULTING IN CHECK VALVE FAILURE CAUSING OXYGEN LEAK. THERE WAS NO PATIENT INVOLVEMENT.