inforMED
MalfunctionCCX

VAC-PAC

Received Jan 23, 2018

Report 3018859-2018-00059 · MDR key 7214012

Device

Generic name

Vac-pac

Model number

51630

Product problems

  • Air Leak
  • Air Leak

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE CUSTOMER WAS PROVIDED INFORMATION FOR STORAGE, REPAIR, TESTING AND REPLACEMENT, AND THE CUSTOMER OPTED TO REPLACE THEIR VAC PAC. USERS ARE INSTRUCTED TO CHECK THE VAC PAC DEVICE BEFORE AND AFTER EACH USE AND NOT TO USE THE DEVICE IF THERE IS KNOWN DAMAGE OR A LEAK. USERS ARE ALSO INSTRUCTED TO REPLACE UNITS OLDER THAN TWO YEARS THAT ARE USED SEVERAL TIMES A WEEK.

Description of Event or Problem

THE CUSTOMER INITIALLY CONTACTED NATUS MEDICAL TO REPORT THAT THEIR VAC PAC PATIENT POSITIONING SUPPORT DEVICE LEAKS AT THE VALVE STEM. THERE WAS NO REPORT OF DEATH, INJURY OR DELAY IN TREATMENT, AND NO PATIENT INVOLVEMENT WAS REPORTED. THE CUSTOMER REPORTS THAT THE LOT NUMBER LABEL IS MISSING FROM THE VAC PAC AND THAT THE VAC PAC LOOKS "VERY OLD." THE VAC PAC HAS ALSO BEEN REPORTED TO HAVE BEEN DESTROYED AT THE USER FACILITY.

Remedial action

  • Replace