inforMED
InjuryOGL

INFANT HEATED WIRE CIRCUIT

Received Aug 8, 2018 · Event occurred Jun 23, 2018

Report 8030673-2018-00008 · MDR key 7762988

Device

Generic name

Oxygen Administration Kit

Manufacturer

Vyaire Medical

Catalog number

AH265

Lot number

0001119873

Product problems

  • Moisture or Humidity Problem
  • Moisture or Humidity Problem

Patient

Not reported

  • Decreased Respiratory Rate
  • Decreased Respiratory Rate

Narrative

Additional Manufacturer Narrative

AT THIS TIME, VYAIRE MEDICAL HAS NOT RECEIVED THE SAMPLE FOR INVESTIGATION. IF ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

THE RESPIRATORY THERAPIST REPORTED: RAIN-OUT IS A BIG PROBLEM ON INTUBATED BABY. DRAINING CIRCUIT VERY FREQUENTLY. RAIN -OUT IS SETTING OFF HIGH RESPIRATION RATE ALARM. CONNECTION AT THE SWIVEL FALLS OUT EASILY.

Additional Manufacturer Narrative

THE DEVICE SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION BY OUR QUALITY TEAM. HOWEVER, THE QUALITY TEAM IDENTIFIED THAT A DEFECTIVE CRIMPING COULD CAUSE BAD ELECTRICAL CONNECTION OF THE HEATING WIRE TO THE POWER SUPPLY. THIS COULD GENERATE RAIN OUT IN THE CIRCUIT. IF SET UP TO CRIMPING EQUIPMENT IS NOT PROPERLY DONE, THE CRIMPING HEIGHT CAN BE OUT OF SPEC.