inforMED
MalfunctionKDP

PUSH TO SET INTERMITTENT SUCTION REGULATOR

Received May 31, 2016 · Event occurred Apr 2, 2015

Report 1419185-2016-00009 · MDR key 5689535

Device

Generic name

Pts Isu

Manufacturer

Ohio Medical

Model number

1251

Catalog number

8701-1251-908

Lot number

ISU087045

Product problems

  • Break
  • Self-Activation or Keying

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Description of Event or Problem

A USER FACILITY REPORTED TO US THAT THE DEVICE "GAUGE INTERMITTENTLY JUMPS TO HIGH SUCTION LEVEL" ON (B)(6) 2015. THERE WAS NO PATIENT INVOLVEMENT, AND THE INCIDENT DID NOT RESULT IN A DELAY OF TREATMENT. THE DEVICE WAS EVALUATED ON 04/02/2015 AND IT WAS NOTED THAT THE DEVICE HAD A DAMAGED DIAPHRAGM. OUR RISK DOCUMENT CLASSIFIES THE SEVERITY OF A DAMAGED DIAPHRAGM AS "POTENTIALLY REQUIRING MEDICAL INTERVENTION TO PREVENT PERMANENT IMPAIRMENT OF A BODY FUNCTION OR PERMANENT DAMAGE TO A BODY STRUCTURE". WE ARE OBTAINING FURTHER CLINICAL EVALUATION OF THE RISK OF THIS FAILURE AND WILL PROVIDE FOLLOW UP TO THIS REPORT ONCE OBTAINED.

Additional Manufacturer Narrative

THIS IS A FOLLOW UP TO ORIGINAL REPORT SUBMITTED ON 1/29/2016: CLINICAL ASSESSMENT OF THE FAILURE "SUCTION PRESSURE JUMPS TO HIGHER THAN INTENDED LEVEL" HAS BEEN OBTAINED AND IT HAS BEEN DETERMINED THAT THIS OCCURENCE DOES NOT REPRESENT A REPORTABLE MALFUNCTION DUE TO NO EVIDENCE EXISTING TO REASONABLY SUGGEST THAT THE MALFUNCTION WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO RECUR.

Description of Event or Problem

THIS IS A FOLLOW UP TO ORIGINAL REPORT SUBMITTED ON 1/29/2016: CLINICAL ASSESSMENT OF THE FAILURE "SUCTION PRESSURE JUMPS TO HIGHER THAN INTENDED LEVEL" HAS BEEN OBTAINED AND IT HAS BEEN DETERMINED THAT THIS OCCURENCE DOES NOT REPRESENT A REPORTABLE MALFUNCTION DUE TO NO EVIDENCE EXISTING TO REASONABLY SUGGEST THAT THE MALFUNCTION WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF IT WERE TO RECUR.

Remedial action

  • Repair