PUSH TO SET INTERMITTENT SUCTION REGULATOR
Received May 31, 2016 · Event occurred May 6, 2014
Report 1419185-2016-00013 · MDR key 5690294
Device
Generic name
Pts Isu
Manufacturer
Ohio MedicalModel number
1251Catalog number
8705-1251-907
Lot number
ISU087026
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 DEVICE "NO CYCLE, GAUGE WONT MOVE" ON (B)(6) 2014. THERE WAS NO PATIENT INVOLVEMENT, AND THE INCIDENT DID NOT RESULT IN A DELAY OF TREATMENT. THE DEVICE WAS EVALUATED ON (B)(6) 2014 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 RECEIVED.
Additional Manufacturer Narrative
CLINICAL ASSESSMENT OF THE FAILURE "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 "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