inforMED
MalfunctionFMR

RAYE'S, INC DBA SIZEWISE MANUFACTURING

Received May 8, 2025 · Event occurred Apr 9, 2025

Report 1954156-2025-00011 · MDR key 21985546

Device

Generic name

Alternate Blower

Model number

61355006

Product problems

  • Electrical Overstress
  • Electrical Overstress

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE BLOWER WAS EVALUATED, AND IT WAS DETERMINED THAT THE CAPACITOR LOCATED ON THE SIDE PANEL, ADJACENT TO THE POWER ENTRY MODULE, HAD SUSTAINED BURN DAMAGE. NO EXTERNAL DAMAGE WAS OBSERVED. A CORRECTIVE AND PREVENTIVE ACTION CAPA-01205 HAS BEEN INITIATED TO THOROUGHLY INVESTIGATE THE ISSUE AND IDENTIFY THE ROOT CAUSE.

Description of Event or Problem

THE PUMP WAS SENT TO AGILITI'S CENTER OF EXCELLENCE (COE) FOR REPAIR OF A COMPONENT UNRELATED TO THIS ISSUE. DURING DEVICE INSPECTION, THE COE IDENTIFIED BURN MARKS INSIDE THE PUMP; NO EXTERIOR DAMAGE WAS FOUND. NO COMPLAINTS OR REPORTS REGARDING THIS ISSUE WERE FILED BY THE CUSTOMER.