inforMED
MalfunctionGET

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

Received Oct 24, 2017

Report 9610612-2017-00534 · MDR key 6974567

Device

Generic name

High Speed Power Systems

Manufacturer

Aesculap Ag

Model number

GA513R

Catalog number

GA513R

Lot number

51830335

Product problems

  • Inflation Problem
  • Inflation Problem

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

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

Description of Event or Problem

(B)(6). IT WAS REPORTED THAT DURING SURGERY THE TUBE BLOATED, BUT DID NOT BURST. ALL MED WATCH SUBMISSIONS RELATED TO THIS REPORT ARE: 9610612-2017-00535, 9610612-2017-00359, 9610612-2017-00383, 9610612-2017-00391.

Additional Manufacturer Narrative

A DETAILED FAILURE ANALYSIS COULD NOT TAKE PLACE. THE HOSE BURST APPROXIMATELY 10CM FROM THE MOTOR. FUNCTIONALLY, THE MOTOR, AIR PLUG AND HOSE ARE IN ORDER. AT THE FRACTURED POSITIONS, NO MECHANICAL DAMAGES (BRUISES, CUTS) CAN BE FOUND. HOWEVER, FRAGMENTS ARE MISSING. A COMPLETE RECONSTRUCTION IS NOT POSSIBLE. THE DEVICE HISTORY FILES FOR THE ABOVE MENTIONED LOT NUMBERS HAVE BEEN CHECKED AND FOUND TO BE ACCORDING TO THE SPECIFICATION VALID AT THE TIME OF PRODUCTION. THERE IS NO INDICATION FOR A MANUFACTURING FAILURE. CONCLUSION AND ROOT CAUSE: THE MENTIONED FAILURE IS MOST LIKELY USER RELATED. NO CAPA IS NECESSARY.