2014年1月29日 星期三

SHIMADZU MUX100 開機時 D9 Error

(http://bme.freebbs.tw 醫學工程論壇同步發表)


名稱: SHIMADZU MUX100

故障情形:開機時 D9 Error

故障原因:防撞感知微動開關故障

過年放假前一天,才推下來這傢伙,SHIMADZU的防撞感知器,在碰到東西時會嗶嗶聲,電源燈會閃爍,沒有任何紅色警示燈,但這次是開機時會出現紅色ALARM及D9 Error code,同時也不走了,只能後退,根據這點,同事們確認應該是防撞感知器有問題,明天又開始要放假,還是自己得先動手更換了,又是大傢伙,真感謝及辛苦這些同事了。
拆下防撞感知器機構,真的是微動開關破了,還好之前有買類似的零件,150元搞定!
 年假前,真感謝及辛苦這些同事,也讓使用單位能順利執行業務了。

2014年1月11日 星期六

(http://bme.freebbs.tw 醫學工程論壇 同步發表)

我己經在台灣FDA的網站上留言.及寄給相當的業務部門,看有沒有具體的回應或說明,也許公家部門有公家部門的考量,

如果大家有不同的想法或意見,也歡迎表達一下。
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1. 國內藥事法中規範把藥品跟醫療器材合在一起管理,但藥品跟醫療器材本質上就不同,所以在管理及查核上除了對人體影響是共同點外,幾乎是完全不同。
藥品著重在生物化學層面上的變化,醫材是在生理物理上面的應用及處理,
藥品不會有所謂的調整及保養需求,醫材則不會有所謂的藥物過敏現像,
在現今的應用及管理上己經有點無法應付,建議應該修法分開各別訂定管理辦法。
2.  貴署ADR通報上的公告實屬不錯,但以醫院醫學工程從業的角度及一般民眾的查詢需求上,建議可以改善幾點,以使公告內容更完善:
Recall  --
不同於一般藥品的回收,而是可以利用額外手段加以修正處理,所以建議改為 召修較貼切,避免讓民眾誤解。
公告欄分類部份
--全部都是來函轉知,在查詢上沒什麼助益;建議可以分為安全通報(Safety Communication)”召修(Recall)”,再配合查詢年月,可以更方便民眾詢
3.QSD登記查詢中,建議增列醫器規格,因為廠商在送審的名稱跟販賣時的商名會有極大的不同,(如送審登記名稱是”XXX眼底照相機,外面的商名是全功能螢光眼底照相機暨數位影像系統”…,如果不是醫工人員,誰會知道是眼底照相機,一定是去查“螢光“作關鍵字…Orz)

但大部份的人都會知道醫療器材的廠牌及型號,所以建議在QSD登記中,把醫器中的規格列為可查詢的欄位方便查詢,(最好是跟藥品分開各別查詢,一如中藥材查詢,因為本質就不同了)

也不致於讓廠商魚目混珠,用一個籠統的名稱就含括所有的型號,這是目前我們醫工人員在驗收時的困擾,如果可以增加醫器規格查詢欄位,勢必可以減少從業人員及民眾查詢的困擾。


4.  QSD登記查詢中,的註銷欄位是否可以預設為“未註銷“,往往會忘了選擇,查到時多了很多都是己註銷的,得重新查詢不然就得逐一翻頁,浪費網路頻寬又浪費查詢時間,建議可以改善。

2014年1月10日 星期五

一級召修 Covidien, Puritan Bennett 840 Series Ventilator - Software Problem

(http://bme.freebbs.tw 醫學工程論壇同步發表)
 

Covidien, Puritan Bennett 840 Series Ventilator - Software Problem

 

Recall Class: Class I

Date Recall Initiated: December 16, 2013

Product(s): Puritan Bennett 840 Series Ventilator

Model/catalog/lot numbers: Software Part Number 4-070212-85, Revision AB-AG

Range of manufacturing and distribution dates: 
Manufactured: April 30, 1998 to March 12, 2010
Distributed: August 1, 2008 to October 31, 2010

Use: A critical care ventilator that provides continuous ventilation for infant, pediatric, and adult patients.

Recalling Firm: Covidien 6135 Gunbarrel Avenue Boulder, Colorado 80301-3214

Reason for Recall: Due to a software problem, a diagnostic code (XB0069) may be triggered. This causes the ventilator to stop functioning, triggering the safety alarm and causing the patient to suddenly be required to breathe on his or her own. These devices are used on critically ill patients who may not be able to continue breathing without the ventilator. This product may cause serious adverse health consequences, including death.

Public Contact: Customers with questions regarding this recall can contact Covidien Technical Services at 800-255-6774, Monday through Friday, from 6 AM to 5 PM Pacific Time (Menu option # 4). Customer service (Menu option # 3) is available Monday through Friday from 8 AM to 6:30 PM Eastern Time.

FDA District: Denver District

FDA Comments: On December 16, 2013, Covidien sent its customers an Urgent Medical Device Voluntary Field Correction letter to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Customers were instructed to continue using their Puritan Bennett 840 ventilators until they are able to install the software update outlined in the letter.

There are several ways to install the software update. To initiate the process for updating the software and select the method for an individual facility, customers should go to the software update management portal atwww.PB840technicalupdate.com and follow the instructions to register.

Class I recalls are the most serious type of recall and involve situations in which there is a reasonable probability that use of these products will cause serious adverse health consequences or death.

Health care professionals and consumers may report adverse reactions or quality problems they experienced using these products to MedWatch: The FDA Safety Information and Adverse Event Reporting Program either online, by regular mail or by FAX.

Additional Links: