Events

Recall of Oxylog Transport Ventilator

According to Department of Health, Therapeutic Goods Administration, this recall involved a device in Australia that was produced by Draeger Medical Australia Pty Ltd.

What is this?

A correction or removal action taken by a manufacturer to address a problem with a medical device. Recalls occur when a medical device is defective, when it could be a risk to health, or when it is both defective and a risk to health.

Learn more about the data here
  • Type of Event
    Recall
  • Event ID
    RC-2015-RN-01256-1
  • Event Risk Class
    Class I
  • Event Initiated Date
    2015-12-23
  • Event Country
    Australia
  • Event Source
    DHTGA
  • Event Source URL
    https://apps.tga.gov.au/Prod/sara/arn-detail.aspx?k=RC-2015-RN-01256-1
  • Notes / Alerts
    Australian data is current through July 2018. All of the data comes from the Australian Therapeutic Goods Administration, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Australia.
  • Extra notes in the data
  • Reason
    Some cases have been reported to draeger in which the "poti unplugged" error message was generated. in those cases an audible and visual alarm is generated, the breathing system releases pressure and the ventilation function stops operating. the error message is caused by increased electrical contact resistances of the controllers (setting potentiometers). the increased resistance is caused by an oxide layer that has formed on the controller over a lengthy period of time. no patient injury has been reported due to this issue.
  • Action
    The oxide layer can only form if the controllers are rarely or never moved and according to product monitoring, some users never, or rarely, use the FiO2 controller. As a preventative measure to ensure the resistance taper of the controllers are sufficiently cleaned, Draeger is recommending the following addition to the daily device check: - Prior to turning on the Oxylog in readiness to conduct the daily device check, the staff member turns each of the controllers (Vt, RR, Pmax and FiO2) to the right and left stop positions (minimum and maximum values) at least ten times each. - The Oxylog can then be turned on and the onboard device check completed.

Device

Oxylog Transport Ventilator

Manufacturer

Draeger Medical Australia Pty Ltd