SUPPORT ARM 177 6481720

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-18 for SUPPORT ARM 177 6481720 manufactured by Maquet Critical Care Ab.

Event Text Entries

[41032779] (b)(6) 2016 09:00 am (gmt-4:00) added by (b)(6) ((b)(4)): it was reported that the support arm for the ventilator broke. There was no patient involvement reported. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[47951623] Our investigation into this complaint has now been finalized. No parts or pictures were returned for our investigation. Additional information received clarified that the support arm will not remain in its intended/desired position. Our conclusion is, that the friction in the joint has been reduced, most likely due to wear. There was/is no evidence to support a mechanical break of the device. There are service kits available for exchanging parts of the joints when they become worn out.
Patient Sequence No: 1, Text Type: N, H10


[47951624] (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8010042-2016-00152
MDR Report Key5510245
Date Received2016-03-18
Date of Report2016-02-25
Date Mfgr Received2016-02-25
Date Added to Maude2016-03-18
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 FDA3
Event Location3
Manufacturer StreetMAQUET CRITICAL CARE AB R
Manufacturer CitySOLNA
Manufacturer CountrySW
Manufacturer G1MAGNUS LINDQVIST
Manufacturer StreetMAQUET CRITICAL CARE AB R
Manufacturer CitySOLNA
Manufacturer CountrySW
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSUPPORT ARM 177
Generic NameSUPPORT, ARM
Product CodeIOY
Date Received2016-03-18
Catalog Number6481720
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMAQUET CRITICAL CARE AB
Manufacturer AddressSOLNA SW


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-18

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