AIR HOSE 3.0M AESC.-DRAEGER/AESC.SMALL
Received Jan 5, 2017 · Event occurred Dec 13, 2016
Report 9610612-2017-00005 · MDR key 6225279
Device
Product problems
- Burst Container or Vessel
- Burst Container or Vessel
Patient
Not reported
- Hearing Loss
- Hearing Loss
Narrative
Additional Manufacturer Narrative
AESCULAP INC. (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF AESCULAP AG (MANUFACTURER). EXEMPTION NUMBER: E2014018. MANUFACTURING SITE EVALUATION: EVALUATION ON-GOING.
Description of Event or Problem
COUNTRY OF COMPLAINT: GERMANY. IT WAS REPORTED THAT A HOSE BURST LOUDLY. THE EMPLOYEES ARE AFFECTED WITH SUSPECTED ACUTE HEARING LOSS.
Additional Manufacturer Narrative
INVESTIGATION: THE INVESTIGATION WAS CARRIED OUT BY ATS. SEVERAL CHAFE MARKS CAN BE FOUND AT PLUG AND THE OUTER HOSE. IMPACT MARKS ARE VISIBLE ON THE SOCKET AT THE MOTOR SIDE. A FUNCTION TEST COULD NOT BE CARRIED OUT. THE SURFACE OF THE INNER HOSE IS SOILED BY OIL AND WATER. NO LEAKAGES OF THE PLUG, THE SOCKET OR THE INNER HOSE COULD BE DETECTED. THE MAINTENANCE DATE (06.2016) WAS EXCEEDED BY APPROXIMATELY 5 MONTHS. BATCH HISTORY REVIEW: THE DEVICE QUALITY AND MANUFACTURING HISTORY RECORDS HAVE BEEN CHECKED FOR THE AVAILABLE LOT NUMBER. THE DEVICE HISTORY FILE HAS BEEN CHECKED AND FOUND TO BE ACCORDING TO OUR SPECIFICATION VALID AT THE TIME OF PRODUCTION. NO SIMILAR INCIDENTS HAVE BEEN FILED WITH PRODUCTS FROM THIS BATCH. CONCLUSION AND ROOT CAUSE: BASED ON THE INFORMATION AVAILABLE AS WELL AS A RESULT OF OUR INVESTIGATION THE ROOT CAUSE OF THE FAILURE IS MOST PROBABLY USER RELATED. RATIONAL: MOST LIKELY THE BURST OF THE OUTER HOSE WAS CAUSED BY A MECHANICAL DAMAGE, FOR EXAMPLE A CUT, A STITCH OR A BRUISE. CORRECTIVE ACTION: ACCORDING TO SOP SA-DE13-M-4-2-01-010 A CAPA IS NOT NECESSARY.