CHAMBER, HYPERBARIC 3300H 3300H-01-1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-07-03 for CHAMBER, HYPERBARIC 3300H 3300H-01-1 manufactured by Sechrist Industries, Inc..

Event Text Entries

[4635787] During clinical use the chamber decompressed from 2. 0 at to 0 ata in 6. 5 minutes. Testing of the chamber was done, by the center staff, after the pt was removed and the failure was duplicated. Info provided by the center states that the pt was not injured. They are reported as doing "fine".
Patient Sequence No: 1, Text Type: D, B5


[12218193] The reported complaint that the chamber is decompressing faster than spec was verified. The decompression timing from 2. 0 ata to 0 ata in 6. 5 minutes could be a potential safety issue if the pt has lung disease and holds their breath. This could result in gas becoming trapped in their chest. The chamber was evaluated by a technician from the mfr. He found that the rate valve ws out of calibration and required an adjustment. A note was included in the report stating that the issue was resolved. The cause of the rate valve going out of spec and increasing the decompression timing is unk. The probable cause is drift.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2020676-2014-00025
MDR Report Key3983290
Report Source05,06
Date Received2014-07-03
Date of Report2014-07-03
Date of Event2014-05-23
Date Mfgr Received2014-06-05
Device Manufacturer Date2013-08-08
Date Added to Maude2014-08-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street4225 EAST LA PALMA AVE.
Manufacturer CityANAHEIM CA 92807
Manufacturer CountryUS
Manufacturer Postal92807
Manufacturer Phone7145798400
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCHAMBER, HYPERBARIC
Generic NameHYPERBARIC MONOPLACE CHAMBER
Product CodeCBF
Date Received2014-07-03
Model Number3300H
Catalog Number3300H-01-1
OperatorHEALTH PROFESSIONAL
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSECHRIST INDUSTRIES, INC.
Manufacturer AddressANAHEIM CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-07-03

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