inforMED
MalfunctionCBL

AMSORB PLUS

Received Mar 31, 2020 · Event occurred Mar 11, 2020

Report 9902766 · MDR key 9902766

Device

Generic name

Absorbent, Carbon-dioxide

Manufacturer

Vc/fda Consulting

Model number

AMAB3801

Catalog number

AMAB3801

Lot number

210619F31

Product problems

  • Component or Accessory Incompatibility
  • Gas/Air Leak

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Description of Event or Problem

DURING ROOM TURNOVER ANESTHESIA GAS MACHINE DID NOT PASS LEAK TEST. AFTER IN-SERVICING BIO-MED WAS CALLED. IT WAS NOTED BY BIO-MED REP THAT THE ENGINEERING ON THE AMSORB PLUS PRODUCT IS OFF BY 1MM ON THE GE MACHINE WHICH WAS CAUSING A SMALL LEAK TO BE DETECTED. AFTER RESEARCHING WE NOTED THAT SOME MACHINES WILL PICK UP THE LEAK AND SOME WILL NOT DUE TO THE MINUTE OFFSETTING. OUR CONCERN WAS IF THIS WAS TRANSPIRING IN OTHER FACILITIES BUT HAS NOT BEEN REPORTED DUE TO IT BEING CAUGHT BEFORE PATIENT IS ATTACHED TO MACHINE OR ANESTHESIA TECH NOT REALIZING IT IS AN ENGINEERING MALFUNCTION.