Safety Alert for Trade name: (Fabius, Fabius GS, Fabius Tiro), Fabius GS Premium; Fabius Plus; Fabius Plus XL; Fabius MRI. Technical Name: Anesthesia Device. ANVISA registration number: 10407370. Risk class: III. Model Affected: 10407370026; 10407370124; 10407370061; 10407370110; 10407370065. Serial numbers affected: See Distribution List

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by Dräger Indústria e Comércio Ltda; Drägerwerk AG & Co. KGaA.

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Event ID
    2431
  • Date
    2017-12-15
  • Event Country
  • Event Source
    ANVISA
  • Event Source URL
  • Notes / Alerts
    Brazilian data is current through June 2018. All of the data comes from Anvisa, 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 data from the U.S. and Brazil.
  • Extra notes in the data
    In the products offered by Dräger, the Fabius family anesthesia equipment provides a two-step approach to switch from external fresh gas outlet mode to mechanical ventilation (see Clarification No. 5 on next page): Turn ON ventilation and direct the mechanical switch of the fresh gas line to the patient system position (COZY). If the second step is not performed, the fan will begin to move even though the fresh gas continues to be channeled through the external fresh gas outlet. Therefore, we would like to stress the importance of complying with the measures described in the Safety Notice. If you wish to notify technical complaints and adverse events use the following channels: Notivisa: Notices of adverse events (AE) and technical complaints (QT) for products subject to Sanitary Surveillance should be made through the NOTIVISA System. To access the System, you must register and select the Health Professional option, if you are a liberal professional or the Institution / Entity option, if you are a professional of an institution / entity. Technovigilance System: Patient or citizen can notify through the Technovigilance System / SISTEC access through the link Additional information: - Date of identification of the problem by the company: 10/31/2017 - Date of notification notice to Anvisa: 12/15/2017 The company that owns the affected product is responsible for contacting its customers in due time. to ensure the effectiveness of the Field Action in progress. It stands out the joint responsibility of the distribution chain and use of health products in maintaining its quality, safety and efficacy, as well as the effectiveness of the Field Action, expressed by RDC 23/2012: "(...) Art 2 ° A holder of registration of health product is the holder of the registration / registration of health product with Anvisa. Single paragraph. The registration holder, as well as other agents involved from the production to the use of the product, or discarding it when applicable, are jointly and severally responsible for maintaining the quality, safety and efficacy of the health products to the final consumer. Art. 12 Distributors of health products shall forward to the registration holder, in a timely manner, the distribution map and other information requested for the notification and execution of field actions. (...) "
  • Reason
    As part of our continuous market and product monitoring we have been informed that the use of the fresh gas auxiliary output (acgo) in anesthesia workstations of different manufacturers was not performed as described in the instructions for use of the manufacturer, or by following the safety guidelines (pre-use checklist) published by various anesthesia companies. this reality is reflected in general safety alerts published by the mhra * and the ecri ** (emergency care research institute) as well as in post-marketing monitoring data of our own products . since this issue is not related solely to certain products or manufacturers it has to be considered as a problem of a more general nature as explained below. * mda / 2011/108, acgo topic in ge healthcare devices, publication on december 1, 2011. ** h0360: "anesthesia units with acgo - incorrect acgo switch setting may lead to patient harm", publication january 19, 2017.
  • Action
    Field Action Code PR72782 - TSB 231 triggered under the responsibility of the company Dräger Indústria e Comércio Ltda. Important Safety Notice

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