Events

Field Safety Notices about DIN CO2 connectors in DIN O2 terminal units

According to Agency for Medicinal Products and Medical Devices of the Republic of Slovenia (via FOI), this field safety notices involved a device in Slovenia that was produced by Drägerwerk AG & Co. KGaA.

What is this?

Field safety notices are communications sent out by medical device manufacturers or their representatives in relation to actions that they may be taking in relation to their product that is on the market. These are mainly for health workers, but also for users. They can include recalls and alerts.

Learn more about the data here
  • Type of Event
    Field Safety Notice
  • Event Country
    Slovenia
  • Event Source
    AMPMDRS
  • Notes / Alerts
    Data from Slovenia is current through February 2019. All of the data comes from the Agency for Medicinal Products and Medical Devices of the Republic of Slovenia (via FOI), 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 Slovenia.
  • Extra notes in the data
  • Reason
    As part of our global market monitoring we have become aware of individual cases in which temporary gas flow occurred due to improper insertion of a co2 connector into an o2 terminal unit by inserting with excessive force. due to the temporary gas flow there is the risk that o2 instead of co2 is applied to a patient during a minimally invasive procedure. there were no severe patient injuries in any of the known cases. .

Device

DIN CO2 connectors in DIN O2 terminal units

Manufacturer

Drägerwerk AG & Co. KGaA