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MDA/2007/040 - Primus anaesthetic workstation supplied by Draeger Medical UK Ltd

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Document details:

Type: Medical Device Alert
Series No: MDA/2007/040
Audience: Healthcare professionals
Published:
Format: Electronic and paper
Size: A4
Pages: 3
Price: Free
ISBN/ISSN:
Author:
Copyright: Crown
   

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Page 1

Issued: 23 May 2007 at 11:00
Ref: MDA/2007/040

 

 
Immediate action
 Tick mark 
Action
 
Update
 
Information request


Device:
Primus anaesthetic workstation supplied by Draeger Medical UK Ltd.

>Page 2 
Problem:
Potential misconnection of the backup oxygen cylinder; the oxygen cylinder inlet is situated alongside an oxygen outlet and both are fitted with the same connector.  A misconnection to the oxygen outlet would prevent backup oxygen supply in the event of oxygen pipeline failure.		  

>Page 2  

Action by:
Anaesthetists, operating department practitioners, anaesthetic nurses and servicing engineers.

  

Action:

  • Ensure the backup oxygen cylinder’s NIST (non-interchangeable screw threaded) fitting is connected to the appropriate oxygen inlet.  The correct connection guide can be found above the gas inlet block at the back of the device.
  • Users are recommended that pre-use checks should include the disconnection of the oxygen pipeline to ensure the continuity of oxygen supply from the backup cylinder.
  

Distributed to:

NHS trusts in England - Chief Executives*
Healthcare Commission (CHAI) - Headquarters

* via CE Bulletin

>Page 2

Contacts:
Details of supplier contacts and MHRA contacts for technical and clinical aspects.
Change of address or removal from address list for Healthcare Commission.

>Pages 2-3



Action deadlines for the Safety Alert Broadcast System (SABS)
Deadline (action underway): 08 June 2007
Deadline (action complete): 22 June 2007


Page last modified: 23 May 2007