AMSORB PLUS G-CAN 2105489-003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-19 for AMSORB PLUS G-CAN 2105489-003 manufactured by Armstrong Medical, Ltd..

Event Text Entries

[136501203] Biomedical responded on service call up to determine reason for anesthesia circuit leak test failure. Inspection of the anesthesia machine noted a pronounced crack on the forward side of the disposable co2 absorber canister just below the front compensation tube. Biomedical noted that this was the second occurrence of cracking in this section of the canister in the last two weeks. Because of the location of the crack it was determined that this was not impact damage due to the location of the absorber as it was nested in the absorber/patient circuit assembly. This section of the absorber was protected by a condenser assembly that would have prevented any impact damage. Damaged absorber retrieved to have manufacturer analyze reason for cracking. Manufacturer response for disposable prefill absorber canister, amsorb plus g-can (per site reporter). Awaiting manufacturer response.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8349438
MDR Report Key8349438
Date Received2019-02-19
Date of Report2019-02-12
Date of Event2019-02-11
Report Date2019-02-12
Date Reported to FDA2019-02-12
Date Reported to Mfgr2019-02-19
Date Added to Maude2019-02-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAMSORB PLUS G-CAN
Generic NameABSORBENT, CARBON-DIOXIDE
Product CodeCBL
Date Received2019-02-19
Catalog Number2105489-003
Lot Number091018F21
Device AvailabilityY
Device Age1 DA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerARMSTRONG MEDICAL, LTD.
Manufacturer Address575 KNIGHTSBRIDGE PKWY LINCOLNSHIRE IL 60069 US 60069


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-19

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