inforMED
MalfunctionGET

AIR HOSE 3.0M AESC.-DRAEGER/AESC.SMALL

Received Jul 20, 2017

Report 9610612-2017-00359 · MDR key 6728734

Device

Generic name

High Speed Power Systems

Manufacturer

Aesculap Ag

Model number

GA513R

Catalog number

GA513R

Lot number

51931403

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

Not reported

  • Hearing Loss
  • Hearing Loss

Narrative

Additional Manufacturer Narrative

INVESTIGATION: THE DEVICE WAS DELIVERED ON THE 10TH OF JUNE 2013. A REPAIR OR A MAINTENANCE CANNOT BE FOUND IN THE SYSTEM. A FUNCTIONAL TESTING IS NOT POSSIBLE DUE TO THE FACT THAT THE HOSE AS WELL AS THE CONNECTIONS ARE TIGHT. ITS NOT POSSIBLE TO RECONSTRUCT THE HOSE AT THE BURST POSITION. FRAGMENTS ARE MISSING. A CLEAR AND DEFINITE CONCLUSION CAN NOT BE DRAWN. MOST LIKELY A HANDLING FAILURE (KINKING OF THE HOSE) LED TO THE MENTIONED BURST. BATCH HISTORY REVIEW: THE DEVICE HISTORY FILES HAVE BEEN CHECKED AND FOUND TO BE ACCORDING TO THE SPECIFICATION VALID AT THE TIME OF PRODUCTION. THERE IS NO INDICATION OF A MANUFACTURING FAILURE. CONCLUSION AND ROOT CAUSE: THE MENTIONED FAILURE IS MOST PROBABLY USER RELATED. NO CAPA IS NECESSARY.

Additional Manufacturer Narrative

EXEMPTION NUMBER: E2014018. MANUFACTURING SITE EVALUATION: EVALUATION ON-GOING.

Description of Event or Problem

COUNTRY OF COMPLAINT: (B)(6). DURING SURGERY IT WAS REPORTED THAT THE AIR HOSE BURST. TWO (2) SURGICAL NURSES HAD TEMPORARY DEAFNESS. AFTER A FEW HOURS THEIR HEARING RETURNED.