inforMED
MalfunctionIOY

SUPPORT ARM 178

Received Oct 23, 2019 · Event occurred Oct 8, 2019

Report 8010042-2019-00777 · MDR key 9223757

Device

Generic name

Support, Arm

Model number

SUPPORT ARM 178

Catalog number

6693715

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

Not reported

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SUPPORT ARM FOR PATIENT TUBES, MOUNTED ON THE VENTILATOR, CARRIER BROKE. THERE WAS NO PATIENT HARM. (B)(4).

Additional Manufacturer Narrative

THE SUPPORT ARM WAS NOT RETURNED FOR INVESTIGATION. ACCORDING TO PROVIDED PICTURES AND ADDITIONAL INFORMATION, THE BALL BEARINGS ON THE RAIL CLAMP MOUNTED ON THE SUPPORT ARM WERE STUCK. THIS HAS MOST LIKELY CONTRIBUTED TO AN INABILITY TO FASTEN THE SUPPORT ARM ON THE SIDE RAIL MOUNTED ON THE VENTILATOR CARRIER. THE ROOT CAUSE OF THE STUCK BALL BEARINGS HAS NOT BEEN DETERMINED.

Description of Event or Problem

MANUFACTURER'S REF # (B)(4).