inforMED
MalfunctionKRL

SARNS 8000 PERFUSION SYSTEM

Received Mar 9, 2016

Report 1828100-2016-00165 · MDR key 5489201

Device

Generic name

Detector, Bubble, Cardiopulmonary Bypass-sarns 8000

Model number

5773

Catalog number

5773

Product problems

  • Break

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(4). THIS COMPLAINT IS RELATED TO EMDR #182810-2016-00164. THE FSR REPLACED THE LATCH ASSEMBLY AND PREVENTIVE MAINTENANCE/INSPECTION WAS COMPLETED SUCCESSFULLY. THE UNIT OPERATED TO MANUFACTURER SPECIFICATIONS AND WAS RETURNED TO CLINICAL USE. THE SUSPECT PART WAS RETURNED TO THE MANUFACTURER. IF ADDITIONAL INFORMATION BECOMES AVAILABLE ON THIS COMPLAINT THAT WOULD ALTER THE FACTS AND/OR CONCLUSION, A FOLLOW-UP EMDR WILL BE FILED ACCORDINGLY.

Description of Event or Problem

THE FIELD SERVICE REPRESENTATIVE (FSR) REPORTED THAT DURING PREVENTIVE MAINTENANCE (PM) OF THE DEVICE (REFER TO EMDR #1828100-2016-00164), HE FOUND THE ULTRASONIC AIR SENSOR (UAS) LATCH ASSEMBLY WAS BROKEN. THERE WAS NO PATIENT INVOLVEMENT.