PUSH TO SET INTERMITTENT SUCTION UNIT
Received May 31, 2016 · Event occurred Apr 21, 2015
Report 1419185-2016-00004 · MDR key 5690268
Device
Generic name
Pts Isi
Manufacturer
Ohio MedicalModel number
1251Catalog number
8701-1251-908
Lot number
ISU087045
Product problems
- Break
- Device Inoperable
Patient
Not reported
- No Patient Involvement
- No Patient Involvement
Narrative
Description of Event or Problem
A USER FACILITY REPORTED TO US THAT THE "UNITS ARE NOT WORKING" ON 2/27/2015. THERE WAS NO PATIENT INVOLVEMENT, AND THE INCIDENT DID NOT RESULT IN A DELAY OF TREATMENT. THE DEVICE WAS EVALUATED ON 04/21/2015 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
CLINICAL ASSESSMENT OF THE FAILURE MODE "DAMAGED DIAPHRAGM" HAS BEEN OBTAINED AND IT HAS BEEN DETERMINED THAT THIS OCCURRENCE 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. (B)(4).
Description of Event or Problem
CLINICAL ASSESSMENT OF THE FAILURE MODE "DAMAGED DIAPHRAGM" HAS BEEN OBTAINED AND IT HAS BEEN DETERMINED THAT THIS OCCURRENCE 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