inforMED
MalfunctionKRL

SARNS ULTRASONIC AIR SENSOR

Received Mar 1, 2017 · Event occurred Feb 7, 2017

Report 1828100-2017-00104 · MDR key 6369985

Device

Generic name

Detector, Bubble, Cardiopulmonary Bypass-bubble Detector

Model number

149673

Catalog number

149673

Product problems

  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). THE FIELD SERVICE REPRESENTATIVE (FSR) INSPECTED THE DEVICE AND INSTALLED A NEW LATCH ASSEMBLY. UAS IS WITHIN MANUFACTURER'S SPECIFICATIONS AND IS READY FOR CLINICAL USE. IF ADDITIONAL INFORMATION BECOMES AVAILABLE ON THIS COMPLAINT THAT WOULD ALTER THE FACTS AND/OR CONCLUSION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.

Description of Event or Problem

IT WAS REPORTED THAT DURING SET-UP OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE (CPB), THE LATCH ON THE ULTRASONIC AIR SENSOR (UAS) WAS BROKEN. THE DEVICE WAS NOT CHANGED OUT AS THE CUSTOMER USED TAPE TO KEEP THE SENSOR LATCH CLOSED. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WAS NO DELAY, NO BLOOD LOSS, NOR ADVERSE CONSEQUENCES TO THE PATIENT.