inforMED
MalfunctionCBQ

PHILIPS ANESTHESIA GAS MONITOR

Received Sep 23, 2019 · Event occurred Aug 27, 2019

Report 3007409280-2019-00020 · MDR key 9106792

Device

Generic name

Anesthetic Gas Module

Model number

M1026B

Product problems

  • Pumping Problem
  • Unexpected Shutdown
  • Pumping Problem
  • Unexpected Shutdown

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE COMPLAINT DEVICE WAS RETURNED FOR EVALUATION. INCOMING VISUAL INSPECTION IDENTIFIED CASE DAMAGE AND THAT THERE WAS NO WATER TRAP. TECHNICAL VISUAL INSPECTION IDENTIFIED NO ANOMALIES. DEVICE EVALUATION FOUND THAT THE PUMP WAS VERY WEAK. THIS WAS NOT RELATED TO THE PREVIOUS REPAIR AS THIS IS PART WAS NOT REPAIRED AT THAT TIME. THE PUMP WAS REPLACED AND THE DEVICE TESTED TO OEM SPECIFICATIONS. A DEFINITIVE ROOT CAUSE FOR THE DEVICE TURNING OFF COULD NOT BE DETERMINED; HOWEVER, IT IS LIKELY THAT IT WAS RELATED TO THE BAD PUMP. THIS TYPE OF EVENT WILL CONTINUE TO BE MONITORED.

Description of Event or Problem

REPORTEDLY, POST REPAIR, THE DEVICE TURNS OFF DURING USE. THERE WAS NO PATIENT HARM REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.