TEC 6 PLUS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-03-10 for TEC 6 PLUS manufactured by Datex-ohmeda, Inc..

Event Text Entries

[40085604] No report of patient involvement. The unit was returned to the manufacturing site for investigation. The unit was tested, and the reported complaint was confirmed. It was further noted that the c-clip was missing from the pivot pin. A plunger, pivot pin, and c-clip were installed to correct the issue.
Patient Sequence No: 1, Text Type: N, H10


[40085685] The hospital reported that, during routine maintenance testing, the interlock system was not functioning. There was no report of patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2112667-2016-00455
MDR Report Key5492682
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-03-10
Date of Report2016-03-10
Date of Event2016-02-12
Date Mfgr Received2016-02-12
Device Manufacturer Date2008-03-06
Date Added to Maude2016-03-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTEPHANIE CASS
Manufacturer Street3000 N. GRANDVIEW BOULEVARD
Manufacturer CityWAUKESHA WI 531881696
Manufacturer CountryUS
Manufacturer Postal531881696
Manufacturer G1DATEX-OHMEDA, INC.
Manufacturer Street3030 OHMEDA DRIVE
Manufacturer CityMADISON WI 53718
Manufacturer CountryUS
Manufacturer Postal Code53718
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTEC 6 PLUS
Generic NameVAPORIZER
Product CodeCAD
Date Received2016-03-10
Returned To Mfg2016-03-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerDATEX-OHMEDA, INC.
Manufacturer Address3030 OHMEDA DRIVE MADISON WI 53718 US 53718


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-10

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