Safety Alert for maquet servo-i/s ventilator systems with software version 8.00.00

According to Department of Health, this safety alert involved a device in Hong Kong that was produced by MAQUET.

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.

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  • Type of Event
    Safety alert
  • Date
    2016-06-17
  • Event Date Posted
    2016-06-17
  • Event Country
  • Event Source
    DH
  • Event Source URL
  • Notes / Alerts
    Hong Kong data is current through September 2018. All of the data comes from the Department of Health (Hong Kong), 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 Hong Kong.
  • Extra notes in the data
    Medical Device Safety Alert
  • Reason
    Medical device safety alert: maquet servo-i/s ventilator systems with software version 8.00.00 the australia therapeutic goods administration (tga) has issued a medical device safety alert concerning servo-i/s ventilator systems with software version 8.00.00 [part numbers: 68 85 247, 68 85 259]. the manufacturer has become aware of improper behaviour introduced in servo-i and servo-s ventilator system sw version 8.00.00, which appears as follows:- if ventilation is started with infant factory default settings, the following settings will apply: pressure control mode; and 10 cmh2o pc above peep. the system will deliver a pressure of 20 cmh2o above peep as long as the factory default setting 10 cmh2o is used unchanged. according to the manufacturer, there is a risk of serious injury to an infant. however, the issue would be apparent in the pressure curve and peak pressure displayed on the screen. there are no reported injuries. users are advised to change the default settings of pressure above peep in the infant patient category. the ventilator will only deliver a pressure of 20 cmh2o above peep if the default start-up configuration of the pressure has not been changed. the manufacturer will be upgrading all affected units as a permanent correction. according to the local supplier, the affected products are not distributed in hong kong. if you are in possession of the affected products, please contact your supplier for necessary actions. posted on 17 june 2016.

Device

  • Model / Serial
  • Product Description
    Medical Device Safety Alert: Maquet SERVO-i/s ventilator systems with software version 8.00.00
  • Manufacturer

Manufacturer