PNEUMO SURE HIGH FLOW INSUFFLATOR 0620040600

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2010-02-08 for PNEUMO SURE HIGH FLOW INSUFFLATOR 0620040600 manufactured by Stryker Endoscopy San Jose.

Event Text Entries

[16744335] Allegedly, the tubing does not stay on insufflator. Same tubing was used on other insufflators and they stayed on.
Patient Sequence No: 1, Text Type: D, B5


[16933827] This unit was received for eval. The tube set used with this unit was not returned. An in-house tube set was used to conduct testing. Bottle gas was connected and the unit was tested in the high flow at different pressure and flow setting. For one of the settings a higher flow rate than normal was used in order to simulate the case situation. The reported failure could not be duplicated. The mostly likely cause of tubing not staying in the insufflator might be that of pulling and tugging on the tube set, tube set not connected. The tube set not connected error displays when the tube set is pulled or tugged in a manner such that the bottom part of the tube set adapter was pulled out. The sensor pin is present on the bottom part of the adaptor. If the bottom part of the adaptor is pulled out then the sensor would no longer detect the tube set hence giving an error and would stop insufflating. The root cause is the design of the tube set adaptor fit into the console coupled with the tube set detection mechanism. A new enhanced optical sensor tube set detection mechanism is in place which addresses this issue. In this design enhancement, instead of a mechanical switch an optical switch with improved gui is used. With this new design the sensor and latch are physically located next to each other, such that the sensor would detect the tube set as long as tube set is latched in.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2936485-2010-00073
MDR Report Key1609520
Report Source07
Date Received2010-02-08
Date of Report2008-07-24
Date of Event2008-07-24
Date Mfgr Received2008-07-24
Date Added to Maude2010-10-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactNILA PATEL
Manufacturer Street5900 OPTICAL CT.
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal95138
Manufacturer Phone4087542000
Manufacturer G1STRYKER ENDOSCOPY SAN JOSE
Manufacturer Street5900 OPTICAL CT.
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal Code95138
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePNEUMO SURE HIGH FLOW INSUFFLATOR
Generic NameINSUFFLATOR
Product CodeNKC
Date Received2010-02-08
Catalog Number0620040600
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ENDOSCOPY SAN JOSE
Manufacturer AddressSAN JOSE CA 95138 US 95138


Patients

Patient NumberTreatmentOutcomeDate
10 2010-02-08

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