inforMED
MalfunctionCCX

VAC-PAC

Received Feb 7, 2018

Report 3018859-2018-00093 · MDR key 7250075

Device

Generic name

Vac-pac

Model number

51632

Lot number

57

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 HAD DAMAGE AT THE VALVE. THERE WAS NO REPORT OF DEATH, INJURY OR DELAY IN TREATMENT, AND NO PATIENT INVOLVEMENT WAS REPORTED. THE VAC PAC HAS BEEN REPORTED TO HAVE BEEN PURCHASED IN (B)(6) 2015 AND HAS BEEN DESTROYED AT THE USER FACILITY.

Remedial action

  • Replace