inforMED
MalfunctionCAN

TRI-ANIM AIR OXYGEN BLENDER SMALL

Received Oct 22, 2019 · Event occurred Sep 23, 2019

Report 3007409280-2019-00045 · MDR key 9219344

Device

Generic name

Precision Medical Oxygen Regulator

Model number

FOTA1000

Product problems

  • Improper Flow or Infusion
  • No Apparent Adverse Event
  • Improper Flow or Infusion
  • No Apparent Adverse Event

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. DEVICE SENT IN DUE TO THE BLEEDER LEAKING MORE THAN NORMAL. INCOMING VISUAL INSPECTION FOUND NO ANOMALIES. TECHNICAL VISUAL INSPECTION FOUND NO ANOMALIES. DEVICE EVALUATION FOUND THE DEVICE NEEDED A COMPLETED OVERHAUL AND REQUIRED RE-CALIBRATING. THE OVERHAUL WAS COMPLETED AND THE DEVICE WAS CALIBRATED TO OEM SPECIFICATION. THE ROOT CAUSE WAS DETERMINED TO BE AGED PARTS. THIS TYPE OF EVENT WILL CONTINUE TO BE MONITORED.

Description of Event or Problem

REPORTEDLY, POST REPAIR THE BLEEDER LEAKS MORE THAN NORMAL. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT. THERE WAS NO PATIENT HARM REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.