PRIMUS 8603800

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2020-03-31 for PRIMUS 8603800 manufactured by Dr?gerwerk Ag & Co. Kgaa.

Event Text Entries

[186751873] The responsible dr? Ger service engineer could confirm the reported issue during on-site checking and trace it back to the ventilator motor. The entire motor assembly was replaced, consequently. The log file demonstrates that the device forced a shutdown of automatic ventilation due to a detected wrong motor position. The motor speed is monitored continuously; speed fluctuations caused e. G. By an abraded collector disc will result in a deviation between measured and expected piston position. To prevent from damages, the system is designed to shut down automatic ventilation and to alert the user by means of a corresponding alarm. Manual ventilation and the monitoring functions remain available to the full extent. Dr? Ger finally concludes that the device behaved as specified upon the malfunction of a single component; no patient consequences have been reported. The repair exchange of the motor unit has fully solved the device problem. The motor is designed for a lifetime of 10 years at standard use conditions. The respective unit was produced in 12/2008; it can be considered that it has lasted for the expected runtime. The number of similar cases is within the expected range of the respective risk assessment and thus accepted.
Patient Sequence No: 1, Text Type: N, H10


[186751874] It was reported that the device had a ventilator failure during use. There was no patient injury reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9611500-2020-00107
MDR Report Key9906743
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-02-28
Date Mfgr Received2020-03-04
Device Manufacturer Date2008-12-31
Date Added to Maude2020-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer G1DR
Manufacturer StreetMOISLINGER ALLEE 53-55
Manufacturer CityL 23542
Manufacturer CountryGM
Manufacturer Postal Code23542
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRIMUS
Generic NameANESTHESIA UNITS
Product CodeBSZ
Date Received2020-03-31
Model NumberNA
Catalog Number8603800
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerDR?GERWERK AG & CO. KGAA
Manufacturer AddressMOISLINGER ALLEE 53-55 L?BECK 23542 GM 23542


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-31

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