PRECISION MEDICAL INC. PM65HG

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report Number2523148-2016-00004
MDR Report Key6159331
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-12-09
Date of Report2016-12-09
Date of Event2016-11-07
Date Mfgr Received2016-11-23
Device Manufacturer Date2015-06-15
Date Added to Maude2016-12-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR JAMES PARKER
Manufacturer Street300 HELD DRIVE
Manufacturer CityNORTHAMPTON PA 18067
Manufacturer CountryUS
Manufacturer Postal18067
Manufacturer Phone6102626090
Manufacturer G1PRECISION MEDICAL INC
Manufacturer Street300 HELD DRIVE
Manufacturer CityNORTHAMPTON PA 18067
Manufacturer CountryUS
Manufacturer Postal Code18067
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRECISION MEDICAL INC.
Generic NameEASY GO VAC ASPIRATOR
Product CodeBTA
Date Received2016-12-09
Returned To Mfg2016-12-07
Model NumberPM65HG
Catalog NumberPM65HG
Device AvailabilityR
Device Age1 YR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPRECISION MEDICAL INC.
Manufacturer Address300 HELD DRIVE NORTHAMPTON PA 18067 US 18067


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-12-09

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