HYPERBARIC CHAMBER 3600E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other,user facility report with the FDA on 2017-04-13 for HYPERBARIC CHAMBER 3600E manufactured by Sechrist Industries, Inc..

Event Text Entries

[72812509] On 4/21/2016 a sechrist technician was dispatched onsite. Technician verified control system regulator set to 40. 0psi, checked timing and found it was out of specification. Technician replaced i/p regulator and chamber performed as designed. This report is in response to (b)(4) that sechrist received on 3/27/2017. The chamber is designed to fail in safe state. Sechrist electronic control module configuration & diagnostics manual, section 8. 12. Category 11 - system errors and alarms, page 20 of 80 states: the "safe state/inoperative" condition is caused by critical system error or an operating condition that renders unsafe. When one or both of the mcus do not respond to the external watchdog timer, the watchdog timer will activate the safety solenoid to drive the chamber into the "safe state" mode.
Patient Sequence No: 1, Text Type: N, H10


[72812510] On (b)(6) 2016 customer stated that the chamber is not maintaining set pressure. Chamber is also compressing slow. Actual time to 2. 4ata is 25 minutes at rate of 1. 5psi/min. No patient injury was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2020676-2017-00005
MDR Report Key6491007
Report SourceOTHER,USER FACILITY
Date Received2017-04-13
Date of Report2017-03-27
Date of Event2016-04-15
Date Mfgr Received2017-03-27
Device Manufacturer Date2010-02-01
Date Added to Maude2017-04-13
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 FDA3
Event Location3
Manufacturer ContactMR. VICTOR ARELLANO
Manufacturer Street4225 E. LA PALMA AVENUE
Manufacturer CityANAHEIM CA 92807
Manufacturer CountryUS
Manufacturer Postal92807
Manufacturer G1SECHRIST INDUSTRIES, INC.
Manufacturer Street4225 E. LA PALMA AVENUE
Manufacturer CityANAHEIM CA 92807
Manufacturer CountryUS
Manufacturer Postal Code92807
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHYPERBARIC CHAMBER
Generic NameCHAMBER, HYPERBARIC
Product CodeCBF
Date Received2017-04-13
Model Number3600E
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSECHRIST INDUSTRIES, INC.
Manufacturer Address4225 E. LA PALMA AVENUE ANAHEIM CA 92807 US 92807


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-13

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