MalfunctionCAN
GAS CYLINDER PRESSURE REGULATOR
Received Dec 20, 2018 · Event occurred Jul 22, 2018
Report MW5082451 · MDR key 8190510
Device
Generic name
Regulator, Pressure, Gas Cylinder
Manufacturer
Airgas UsaProduct problems
- Break
- Device Emits Odor
- High Test Results
- Gas/Air Leak
Patient
61 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
ON (B)(6) 2018, SERVICE TECHNICIAN DISCOVERED ODOR AT CARBON DIOXIDE GAS MANIFOLD COMING FROM ONE CYLINDER. CO2 OUTLETS WERE TESTED. TESTS INDICATED ELEVATED LEVELS OF HYDROCARBONS IN THE CO2 LINE, NOT MEETING NFPA99 STANDARDS. CO2 REGULATOR AND PARTS OF MANIFOLD WERE FOUND DAMAGED AND WERE REPLACED. CO2 WAS USED DURING LAPAROSCOPIC SURGERY FOR INSUFFLATION OR DURING CARDIOVASCULAR SURGERY FOR OXYGEN DISPLACEMENT/SURGICAL FIRE PREVENTION.