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 2016-12-09 for PRECISION MEDICAL INC. PM65HG manufactured by Precision Medical Inc..
[62356873]
We received the report referenced above concerning your easy go aspirator at the facility mentioned in the report (following the questions). So far in majority of your mdrs, your evaluation was that the devices were old and were used beyond 5 years. This facility stated that their devices are 1 year old and they had fuse problem in 7 more easy go aspirators. To complete our evaluation of the event(s), we request the following information: 1. Please provide the disposition of the device, including information on your efforts to acquire or have the device returned for investigation. For reusable devices, indicate whether the device is still in use. Answer;six of the devices with a blown fuse, the fuse was replaced by the hospital biomed department and placed back in service. One of the devices was returned back to precision medical under rga# 68575 serial number 068263. This device when returned, had no power, and would not function. Upon investigation it was found that the negative lead on the battery was disconnected. The lead was placed back on the battery, and the device functioned within specification. The fuse was not shorted in this device. Unknown cause why the battery was disconnected, and this is not a typical complaint. 2. If the device did not function or perform as expected, please describe which device function or feature did not perform as intended, and the manner in which the device did not function as expected. Additionally, please discuss whether the unexpected function or behavior resulted in the event described answer: the device returned did not exhibit the same failure as described in the hospital. 3. Please provide the total number of devices manufactured, distributed and, if available, used per year over the last three years for the medical device identified in the medical device report. Please indicate the proportions distributed in the us and outside the us answer:sold devices out of us 2014=812015=1352016=145total= 361sold devices in the us2014=8482015=11522016=1048total= 30484. Please identify the exact location in the labeling where users are warned of steps to take to prevent the [reported problem] from occurring, and/or how to mitigate the problem should it occur. Extracted from user manual page 2 caution use only the battery charger / power supply provided by precision medical, inc. Use of other battery chargers / power supplies is not recommended and will void the warranty. 5. Please provide the results for any investigation, evaluation, and/or failure analysis, including underlying cause identification, relevant to the reported event. Please include: a) an explanation for the reason for this occurrence based on your follow-up with the reporting facility or individual b) a complete description of investigation and analysis methodology(ies) used, c) an identification of the specific failure mode(s) and/or mechanism(s) and the associated device component(s) involved, and, d) any conclusions reached based on the investigation and analysis results. Answer:a) the reason for the blown fuses had to be an external source, in that a charger with an output greater that 7. 5 amps is needed to short the fuse. The reason for this not being internal is that after the fuse was changed the devices functioned normally. B) engineering schematics and testing of the circuit. C) the fuse shorting is a built in fail safe to protect the device from amperage over 7. 5. D) the conclusion is that there are other power supplys being plugged into the pm65 with output amps greater than 7. 5 amps that are shorting the fuse. 6. Please provide a complete list of medical device reports (mdrs) that you have determined are related to this same problem/issue. Please identify how many complaints (i. E. From all sources, including but not limited to field service records, repair history records, etc. ) that your firm has received in the past 2 years that are related to this same reported device problem answer: there are no other mdr's withthis type of issue in the last two years or before that. 7. What actions has your firm taken to address this problem? Follow up with the hospital concerning this matter, and review the possibility of other chargers being plugged into the pm65 that causes this issue.
Patient Sequence No: 1, Text Type: N, H10
[62356874]
These aspirators behave as if the battery is low/discharge when turning the unit on. Biomed tech called tech support and also looked at the operator's manual with no indication of the error we were experiencing. After opening the unit, it was noticed that there was a blown fuse. After the fuse was replaced, the unit started to work normal again. Since then, we have identified at least 7 more devices with the same problem.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2523148-2016-00004 |
| MDR Report Key | 6159331 |
| Report Source | HEALTH PROFESSIONAL,USER FACI |
| Date Received | 2016-12-09 |
| Date of Report | 2016-12-09 |
| Date of Event | 2016-11-07 |
| Date Mfgr Received | 2016-11-23 |
| Device Manufacturer Date | 2015-06-15 |
| Date Added to Maude | 2016-12-09 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | BIOMEDICAL ENGINEER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR JAMES PARKER |
| Manufacturer Street | 300 HELD DRIVE |
| Manufacturer City | NORTHAMPTON PA 18067 |
| Manufacturer Country | US |
| Manufacturer Postal | 18067 |
| Manufacturer Phone | 6102626090 |
| Manufacturer G1 | PRECISION MEDICAL INC |
| Manufacturer Street | 300 HELD DRIVE |
| Manufacturer City | NORTHAMPTON PA 18067 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 18067 |
| Single Use | 3 |
| Remedial Action | RP |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PRECISION MEDICAL INC. |
| Generic Name | EASY GO VAC ASPIRATOR |
| Product Code | BTA |
| Date Received | 2016-12-09 |
| Returned To Mfg | 2016-12-07 |
| Model Number | PM65HG |
| Catalog Number | PM65HG |
| Device Availability | R |
| Device Age | 1 YR |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PRECISION MEDICAL INC. |
| Manufacturer Address | 300 HELD DRIVE NORTHAMPTON PA 18067 US 18067 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2016-12-09 |